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Tracie Lee Beckmann

Speech-Language Pathologist, in O Fallon, MO. Individual provider (NPI-1).

NPI number1083215768
StatusActive
Last updated in NPPESNov 8, 2020

Details

NPI
1083215768
Entity type
Individual (NPI-1)
Name
Mrs. Tracie Lee Beckmann
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 8, 2020
Certification date
Nov 8, 2020
Last updated
Nov 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,26793NVYes

Practice location

731 Falcon Hill Trl
O Fallon, MO 63368-8194

Phone 636-448-0995

Mailing address

731 Falcon Hill Trl
O Fallon, MO 63368-8194

Phone 636-448-0995

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