Individual
MRS. MEGAN ELIZABETH BEAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3086 W MILANO DR., MERIDIAN, ID 83646
(208) 996-0552
(208) 914-6597
Mailing address
3086 W MILANO DR., MERIDIAN, ID 83646
(208) 996-0552
(208) 914-6597
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-65876
NV
235Z00000X
Speech-Language Pathologist
Primary
SLP-5406
ID
235Z00000X
Speech-Language Pathologist
—
ID
Other
Enumeration date
10/02/2018
Last updated
09/26/2023
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