Individual
KIM GRAY BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
1610 PENNSYLVANIA AVE, DILLSBURG, PA 17019-9672
(717) 432-8369
Mailing address
1610 PENNSYLVANIA AVE, DILLSBURG, PA 17019-9672
(717) 432-8369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000433L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017610810004
—
PA
Enumeration date
04/16/2007
Last updated
07/08/2007
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