Beach, Angela M

Beach, Angela M is an individual health care provider with primary practice located at 117 E Kentucky St , Louisville KY 40203-2793. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Beach, Angela M can be contacted via phone (502) 584-3573.

Contact Information

Primary practice address
117 E Kentucky St Louisville KY 40203-2793
Phone: (502) 584-3573
Fax: (502) 583-6364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 0976 Kentucky
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 0468 Kentucky

Profile Details

NPI number 1235136185
LBN Legal business name Beach, Angela M
Credentials M.S. CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235136185 NPPES
Kentucky Other 000000477921 ANTHEM
Kentucky MEDICAID 200298810 ANTHEM
Kentucky MEDICAID 70001300 ANTHEM

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