Individual provider · NPI-1
Bonnie Rae Beck, M.S.CCC
Speech-Language Pathologist, · Plantation, FL
NPI number1669461307
StatusActive
Last updated in NPPESJun 21, 2011
Details
- NPI
- 1669461307
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Bonnie Rae Beck
- Credential
- M.S.CCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2005
- Last updated
- Jun 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SA38 | FL | Yes |
| 252Y00000X | Early Intervention Provider Agency | SA38 | FL |
Practice location
1111 Nw 106th AvePlantation, FL 33322-7817
Phone 954-370-0778 · Fax 954-370-7956
Mailing address
1111 Nw 106th AvePlantation, FL 33322-7817
Phone 954-370-0778 · Fax 954-370-7956
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