Individual
CHERYL BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 609-4292
Mailing address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 609-4292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04463
MD
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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