Individual
SHANNA BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 RANCOCAS RD, BURLINGTON, NJ 08016-4113
(609) 747-8619
Mailing address
123 PINE VALLEY RD, DELRAN, NJ 08075-2306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00545500
NJ
235Z00000X
Speech-Language Pathologist
Primary
TL-1320
NJ
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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