Individual
JESSICA LYNN BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10465 E US HIGHWAY 2, POPLAR, WI 54864-9203
(715) 364-8465
Mailing address
4028 MCCULLOCH ST, DULUTH, MN 55804-1929
(218) 343-6384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1015911682
WI
235Z00000X
Speech-Language Pathologist
4902
WI
235Z00000X
Speech-Language Pathologist
9484
MN
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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