Stephanie Beaty
Individual provider Active NPI Speech-Language Pathologist · Mount Washington, KY
NPI 1962880401 · NPPES record last updated May 18, 2015
Key facts
- NPI
- 1962880401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4003 (KY)
- Practice address
- 1200 N Bardstown Rd
Mount Washington, KY 40047-7669 - Phone
- (502) 904-0300
- NPI assigned
- May 18, 2015
- 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 |
|---|---|---|---|
| 4003 | KY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4003 | KY | Yes |
Addresses
Primary practice location
1200 N Bardstown Rd
Mount Washington, KY 40047-7669
Mailing address
2114 Starmont Rd
Louisville, KY 40207-1141
Other providers in Mount Washington, KY
- Christopher Badamo
- Barger Drug
- Christopher Dale Barger
- Bautista Medical Clinic
- Constancio M Bautista
- Bedrock HC at Green Meadows LLC
- Joseph Linn Bell
- Karyn Michele Bentley
- Allison Bernard
- Beyond Talking Speech Therapy
All providers in Mount Washington, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2015. 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.