Individual
ERIN LYNN BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 NW 73RD AVE, PLANTATION, FL 33317-1608
(954) 583-7383
(954) 583-7388
Mailing address
7501 NW 7TH ST, PLANTATION, FL 33317-1009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885509900
—
FL
Enumeration date
06/12/2008
Last updated
06/12/2008
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