Individual
AMY T BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1 MEDICAL PARK, WHEELING HOSPITAL INC, WHEELING, WV 26003-6379
(304) 243-3124
Mailing address
103 FERNWOOD AVE, WHEELING, WV 26003-5030
(304) 242-4557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0354
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP-6206
OHIO LICENSE
OH
Enumeration date
10/04/2006
Last updated
07/08/2007
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