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Individual

KATHY V BEATTY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
4806 TIMBER COMMONS DR, STE. B, SANDUSKY, OH 44870-7161
(419) 621-1166
Mailing address
4806 TIMBER COMMONS DR, STE. B, SANDUSKY, OH 44870-7161
(419) 621-1166

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2398
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000392296
ANTHEM BCBS
OH
Enumeration date
06/05/2006
Last updated
07/08/2007
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