Individual
BEVERLY JOLENE SEABOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
1108 ABBOTS LN, DENTON, TX 76205-8049
(940) 382-2736
(940) 382-1317
Mailing address
1108 ABBOTS LN, DENTON, TX 76205-8049
(940) 382-2736
(940) 382-1317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517698
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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