Individual
BOBBIE WEAR BECKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2030 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 982-3400
(865) 982-3410
Mailing address
PO BOX 5209, MARYVILLE, TN 37802-5209
(865) 982-3400
(865) 982-3410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
803
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q004699
—
TN
Enumeration date
06/17/2008
Last updated
10/27/2014
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