Doctor Name: | VIRGINIA L BEAMSLEY |
NPI Number: | 1902024565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SP |
License Number: | 2879 |
Business Practice Address: | 1010 Milda St Gallup, NM - 873017022 |
Business Phone Number: | 5057222844 |
Business Fax Number: | 5058633964 |
Mailing Address: | 1010 Milda St, GALLUP |
State: | NM |
Postal Code: | 873017022 |
Phone Number: | 5057222844 |
Fax Number: | 5058633964 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |