Lesa Beeson

Individual provider Active NPI Speech-Language Pathologist · Charleston, WV

NPI 1992196919 · NPPES record last updated Feb 12, 2015

Key facts

NPI
1992196919
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
L4B104400269 (WV)
Practice address
200 Elizabeth St
Charleston, WV 25311-2119
Phone
(304) 348-7740
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L4B104400269WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kanawha County Schools Past Accepting new patients
Kanawha County Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X L4B104400269 WV Yes

Addresses

Primary practice location

200 Elizabeth St
Charleston, WV 25311-2119

Mailing address

501 22ND St
Dunbar, WV 25064-1711
Phone (304) 766-7655

Other providers in Charleston, WV

All providers in Charleston, WV · Speech-Language Pathologist in West Virginia

Sources for this page

Verify at the official NPI Registry.