NPI 1699089565 · live from the CMS NPI Registry
Sara Catherine Bealko, M.S., CCC-SLP
Speech-Language Pathologist, in Bridgeport, WV. National Provider Identifier 1699089565, active.
NPI record
| NPI | 1699089565 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 211 Berkshire Cir, Bridgeport, WV 26330 |
| Practice phone | 304-476-5009 |
| Enumerated | August 3, 2010 |
| Last updated | September 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 2202006101 (VA) |
| Speech-Language Pathologist, primary | 235Z00000X | SLP-1455 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.