Individual
LISA BEEKMAN KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
3537 ASTER CT, WILMINGTON, NC 28409-2562
(910) 470-4479
(910) 791-7507
Mailing address
3537 ASTER CT, WILMINGTON, NC 28409-2562
(910) 470-4479
(910) 791-7507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1575
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7401002
—
NC
Enumeration date
07/15/2007
Last updated
07/15/2007
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