Individual
SHARON DIANE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
262 SOUTHWEST DRIVE, JONESBORO, AR 72401
(870) 336-0220
Mailing address
2301 WOOD ST, JONESBORO, AR 72401
(870) 926-9498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP#P8908
AR
235Z00000X
Speech-Language Pathologist
Primary
SP4167
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP4167
ABESPA
AR
Enumeration date
07/28/2015
Last updated
03/05/2018
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