Individual
LAURA BEEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 3RD ST SW, ROANOKE, VA 24016-5204
(540) 982-2208
(540) 982-7637
Mailing address
1421 3RD ST SW, ROANOKE, VA 24016-5204
(540) 982-2208
(540) 982-7637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001205
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978218
—
VA
Enumeration date
04/29/2014
Last updated
04/29/2014
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