Kristen Beasley in Brandon - Speech-language Pathologist
Kristen Beasley - NPI 1063519106
Kristen Beasley is a Speech-language Pathologist in Brandon, Florida. Kristen Beasley practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kristen Beasley is 1063519106. The last update date is 2015-11-23.
Kristen Beasley's current location address is 602 Vonderburg Dr, Brandon, Florida. You can contact this provider via phone number 8136531149 and fax number 8136546644. The mailing address for Kristen Beasley is 602 Vonderburg Dr, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristen Beasley |
|---|---|
| Address | 602 Vonderburg Dr, Brandon, Florida |
| Phone Number | 8136531149 |
| Fax Number | 8136546644 |
| Sole Proprietor | N |
| Credentials | M.S., C.C. |
NPI Number Detail
| NPI Number | 1063519106 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2015-11-23 |
Provider Mailing Address Detail
| Address | 602 Vonderburg Dr |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335115900 |
| Phone Number | 8136531149 |
| Fax Number | 8136546644 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SA5490 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 682200 | FL | -- | |
| S2521 | FL | BC/BS OF FLORIDA # | |
| 16021300 | FL | -- |
Post Comment/ Review Below
What is the Kristen Beasley's unique identification number?
The Kristen Beasley has been assigned the NPI (National Provider Identifier) Number 1063519106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kristen Beasley's physical address?
The Kristen Beasley is physically located at 602 Vonderburg Dr, in the city of Brandon, FL, with the postal code 335115900.
What is Kristen Beasley's area of expertise and its corresponding taxonomy classification?
The Kristen Beasley's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
When did the Kristen Beasley receive its 1063519106?
The Kristen Beasley was issued its 1063519106 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kristen Beasley most recently updated or revised?
The information pertaining to Kristen Beasley, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-23.