Individual
JESSICA BECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3117 ALVEY PARK DR W, OWENSBORO, KY 42303-2139
(270) 683-9992
Mailing address
3117 ALVEY PARK DR W, OWENSBORO, KY 42303-2139
(270) 683-9992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272080922
—
KY
Enumeration date
08/12/2019
Last updated
08/12/2019
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