Individual
MS. GINA L BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPD, CCC-SLP
Contact information
Practice address
1305 COUNTRY CLUB RD, HATTIESBURG, MS 39401-7640
(817) 994-9409
Mailing address
149 BAYBERRY LOOP S, PURVIS, MS 39475-3465
(817) 994-9409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-0921
MS
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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