Individual
KATLYN ROSE BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S SLP-CFY
Contact information
Practice address
2251 E PARIS AVE SE, GRAND RAPIDS, MI 49546-2431
(616) 447-7799
Mailing address
76 RICHARDS AVE NW, GRAND RAPIDS, MI 49504-5453
(616) 666-0551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005380
MI
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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