Tanya Beard, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Ferriday, LA
NPI 1780869461 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1780869461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 8306 (LA)
- Practice address
- 110 Serio Blvd
Ferriday, LA 71334-2013 - Phone
- (318) 757-8671
- NPI assigned
- Dec 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 8306 | LA | MD | Professional Counselor |
| S2075 | MS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8306 | LA | Yes |
| Speech-Language Pathologist | 235Z00000X | S2075 | MS |
Addresses
Primary practice location
110 Serio Blvd
Ferriday, LA 71334-2013
Mailing address
117 Belle Chasse Dr
Byram, MS 39212-3162
Phone (601) 668-8772
Other practice location 1
5031 Thornwood Pl
Jackson, MS 39206-3140
Phone (601) 668-8772
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0120389 | Medicaid | MS |
Other providers in Ferriday, LA
- Cassandra Anderson
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- Stacey Lacombe Armand
- Pamela Atkins
- Earl Banks
- Kryshawn Bell
- Nancy Berry
- Eunice Bethley
- Alicia Shavelle Blanton
- Carrie Ann Bonomo
All providers in Ferriday, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. 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.