Individual
SARA BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2018 EXETER RD, GERMANTOWN, TN 38138-3945
(449) 990-1756
Mailing address
7785 SHELBY GROVE CT APT 108, CORDOVA, TN 38018-2206
(630) 360-4717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000005713
TN
235Z00000X
Speech-Language Pathologist
146.010880
IL
235Z00000X
Speech-Language Pathologist
60540452
WA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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