Individual
JULIE MALLIA BEARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
1000 CENTRAL ST, 101, EVANSTON, IL 60201-1777
(847) 570-4031
Mailing address
2400 N LAKEVIEW AVE APT 1801, CHICAGO, IL 60614-2739
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004956
IL
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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