Laura Renee Beasley, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Marshall, MO
NPI 1043345846 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043345846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 02107 (MO)
- Practice address
- 534 W College St
Marshall, MO 65340-3018 - Phone
- (660) 631-1930
- Fax
- (660) 886-6259
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02107 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 02107 | MO | Yes |
Addresses
Primary practice location
534 W College St
Marshall, MO 65340-3018
Mailing address
534 W College St
Marshall, MO 65340-3018
Phone (660) 631-1930
Other providers in Marshall, MO
- Matteo Barausse
- Batlin Recovery Center-Marshall LLC
- BDM Associates LLC
- Beaconway III, LLC
- Beaconway Isl I, LLC
- Lauren Ruth Becker
- Jake Bellon
- Adrienne Leigh Beumer
- Keith Bishop
- Judith Rene Boland
All providers in Marshall, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.