Individual
BRETT A BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 ENGLISH AVE, INDIANAPOLIS, IN 46201-4712
(317) 226-4282
Mailing address
333 EASTERN AVE, INDIANAPOLIS, IN 46201-3257
(812) 345-2275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006301A
IN
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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