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Individual

MISS CHRISTIANNA BEACHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
11614 SEVEN LOCKS RD, ROCKVILLE, MD 20854-3261
(301) 469-0223
Mailing address
11614 SEVEN LOCKS RD, ROCKVILLE, MD 20854-3261
(301) 469-0223

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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