Individual
JANELLE PRUETT BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
770 HAGOOD AVE, BARNWELL, SC 29812
(803) 541-1331
(803) 541-1324
Mailing address
2522 CURTIS DR, BARNWELL, SC 29812
(803) 541-1331
(803) 541-1324
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4592
SC
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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