Individual
MRS. STACEY ANN BEAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6161 SOUTH 33RD WEST AVENUE, SUITE 105, TULSA, OK 74132-6123
(214) 274-0422
Mailing address
3916 W UTICA ST, BROKEN ARROW, OK 74011-1330
(214) 274-0422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3414
OK
Other
Enumeration date
06/22/2011
Last updated
09/26/2013
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