Individual
SHARON K. BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 4TH ST, MOUNDSVILLE, WV 26041-1809
(304) 843-4400
(304) 843-4409
Mailing address
PO BOX 578, MOUNDSVILLE, WV 26041-0578
(304) 843-4400
(304) 843-4409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4368
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154979000
—
WV
Enumeration date
12/05/2007
Last updated
12/05/2007
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