Individual
DUSTIN BECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CF-SLP
Contact information
Practice address
650 N JEFFERSON ST, ROANOKE, VA 24016-1427
(540) 343-3484
Mailing address
3349 GLADE CREEK BLVD NE APT 8, ROANOKE, VA 24012-8683
(276) 618-0072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000456
VA
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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