Individual
STEPHANIE BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N BARDSTOWN RD, MOUNT WASHINGTON, KY 40047-7669
(502) 904-0300
Mailing address
2114 STARMONT RD, LOUISVILLE, KY 40207-1141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4003
KY
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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