Individual
MRS. TERESA GAYLE BECK-FULLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
3419 N PLAINVIEW AVE, FAYETTEVILLE, AR 72703-4065
(479) 521-4001
Mailing address
5716 W CHATTEL ST, FAYETTEVILLE, AR 72704-5570
(479) 521-6786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1880
AR
Other
Enumeration date
05/23/2006
Last updated
07/09/2007
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