Individual
MR. LARRY LONNEL BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
980 MORGANTOWN RD, BOWLING GREEN, KY 42101-3644
(270) 495-1312
Mailing address
980 MORGANTOWN RD, BOWLING GREEN, KY 42101-3644
(270) 495-1312
(270) 495-1351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
271021
KY
Other
Enumeration date
07/26/2021
Last updated
09/13/2022
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