Individual
CARINA KATHLEEN BECKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1280 SUMMERFIELD RD, SANTA ROSA, CA 95405-7313
(949) 487-9500
Mailing address
1144 ENZOS WAY, WINDSOR, CA 95492-8874
(707) 535-9487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24108
CA
Other
Enumeration date
10/30/2020
Last updated
02/11/2022
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