Individual
KRISTIN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
18001 N 79TH AVE STE 53, GLENDALE, AZ 85308-8388
(520) 477-2708
Mailing address
18001 N 79TH AVE STE 53, GLENDALE, AZ 85308-8388
(520) 477-2708
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5647
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
INSURANCE COMPANIES
—
Enumeration date
10/05/2007
Last updated
10/24/2025
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