Individual
PATRICK BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081-1156
(586) 779-7610
Mailing address
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081-1156
(586) 779-7610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000935
MI
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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