Individual
BRIANNA BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
104 4TH ST S, CORDOVA, IL 61242-9672
(309) 558-8760
Mailing address
104 4TH ST S, CORDOVA, IL 61242-9672
(309) 558-8760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.018302
IL
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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