Individual
MRS. ELLEN COLLIER BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
119 COLONIAL DR, ATHENS, GA 30606-4015
(706) 506-7795
Mailing address
119 COLONIAL DR, ATHENS, GA 30606-4015
(706) 506-7795
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007876
GA
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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