Basic Information
| Provider Information | |||||||||
| NPI: | 1275653990 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEISH | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | JANE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | SLP CCC MED | ||||||||
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| Mailing Information | |||||||||
| Address1: | 362 STRONACH ROAD | ||||||||
| Address2: | |||||||||
| City: | GRAMPIAN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 16838 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8142360392 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1633 BIGLER PHILIPSBURG HIGHWAY | ||||||||
| Address2: | CEN CLEAR CHILD SERVICES INC | ||||||||
| City: | WEST DECATUR | ||||||||
| State: | PA | ||||||||
| PostalCode: | 16866 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8143425678 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SL000632L | PA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.