# ANGELA M BEACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235136185
- **Gender:** F
- **Credential:** M.S. CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 0468 | KY | Yes |
| 237700000X | Hearing Instrument Specialist | 0976 | KY | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 04/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000477921 | ANTHEM | KY |
| 05 | — | 200298810 | — | IN |
| 05 | — | 70001300 | — | KY |