| Organization Name: | CHARLES W BEATTY JR |
| NPI Number: | 1639304363 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES BEATTY (OWNER/PROVIDER) |
| Mailing Address: | 102 Terese Dr Longview |
| State: | TX US |
| Postal Code: | 756056156 |
| Phone Number: | 9037574083 |
| Fax Number: | 9037574083 |
| NPI Enumeration Date: | 05/26/2009 |
| NPI Last Update Date: | 05/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 50322 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |