Beverly Harrison Dale, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.008078 Issued in IL

Practice address

520 S. Maple Ave
Roph
Oak Park, IL 60304

Phone

(708) 660-2819

Fax

(708) 660-3714

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1992953954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S. MAPLE AVE",
            "address_2": "ROPH (RUSH OAK PARK HOSPITAL)",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60304",
            "telephone_number": "708-660-2819",
            "fax_number": "708-660-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S. MAPLE AVE",
            "address_2": "ROPH",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60304",
            "telephone_number": "708-660-2819",
            "fax_number": "708-660-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "BEVERLY",
        "middle_name": "HARRISON",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iman Dahabra
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• Maria Cecilia Dahn, M.D.
• Dima Dairanieh
• Mia Dal Santo
• Gentiana Dalipi
• Jerome Damasco, L.C.S.W.
• Dennisah A Dampeer
• Isabel Ann Dance
• Daniel Talley Therapy

• Speech-Language Pathologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.