Individual
STEPHANIE BEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
7415 N 59TH AVE, GLENDALE, AZ 85301-1823
(623) 463-8208
Mailing address
7415 N 59TH AVE, GLENDALE, AZ 85301-1823
(623) 463-8208
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6970
AZ
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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