Individual
ANGELA M BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
117 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 584-3573
(502) 583-6364
Mailing address
111 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(812) 987-2009
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0468
KY
237700000X
Hearing Instrument Specialist
0976
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000477921
ANTHEM
KY
05
—
200298810
—
IN
05
—
70001300
—
KY
Enumeration date
07/07/2005
Last updated
04/06/2020
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