Cindy Beussink, M.A.,CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Advance, MO

NPI 1154476919 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154476919
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2004019670 (MO)
Practice address
19134 County Rd 208
Advance, MO 63730
Phone
(573) 722-3494
NPI assigned
Jan 24, 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2004019670MOMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2004019670 MO Yes

Addresses

Primary practice location

19134 County Rd 208
Advance, MO 63730

Mailing address

19134 County Rd 208
Advance, MO 63730
Phone (573) 722-3494

Other providers in Advance, MO

All providers in Advance, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.