Individual
MRS. KARLY JOHNSON BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
20 MAYO RD STE 105, EDGEWATER, MD 21037-1439
(410) 956-7868
Mailing address
12712 KINCAID LN, BOWIE, MD 20715-2809
(850) 549-7494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09514
MD
Other
Enumeration date
07/17/2023
Last updated
07/20/2023
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