NPI 1255347290 · live from the CMS NPI Registry
Shannan Beatty
Speech-Language Pathologist, in St George, UT. National Provider Identifier 1255347290, active.
NPI record
| NPI | 1255347290 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1380 E Medical Center Dr, St George, UT 84790 |
| Practice phone | 435-251-1000 |
| Enumerated | July 31, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 341739-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.