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Individual
MISS CHRISTIANNA BEACHLEY
Active
Individual
MISS CHRISTIANNA BEACHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07834
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07834
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
MD
01
—
14111042
AMERICAN SPEECH-LANGAUGE-HEARING ASSOCIATION
—
01
—
2202008207
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
07/02/2015
Last updated
06/06/2016
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