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Individual

KATHERN BEASLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
4885 E CAREY AVE, LAS VEGAS, NV 89115-5529
(702) 555-5555
Mailing address
4885 E CAREY AVE, LAS VEGAS, NV 89115-5529

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
171R00000X
Interpreter
Primary

Other

Enumeration date
08/17/2011
Last updated
02/05/2026
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