Organization
HEARTLAND WHOLE BRAIN LEARNING-PEDIATRIC & ADULT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE ELAINE BEASLEY M.S.CCC-SLP (SPEECH -LANGUAGE PATHOLOGIST)
(270) 982-7246
Entity
Organization
Contact information
Practice address
1239 WOODLAND DR, ELIZABETHTOWN, KY 42701-2770
(270) 401-2737
(270) 982-3670
Mailing address
109 ROBINSON CT, ELIZABETHTOWN, KY 42701-9247
(270) 401-2737
(270) 982-3670
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
KY
225100000X
Physical Therapist
—
KY
225X00000X
Occupational Therapist
—
KY
235Z00000X
Speech-Language Pathologist
Primary
142550
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366753980
TRICARE NORTH
KY
05
—
7100348760
—
KY
Enumeration date
09/15/2016
Last updated
09/15/2016
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