Beasley, Tamara O.

Beasley, Tamara O. is an individual health care provider with primary practice located at 3637 Sycamore Dairy Rd , Fayetteville NC 28303-3415. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Beasley, Tamara O. can be contacted via phone (910) 487-1832.

Contact Information

Primary practice address
3637 Sycamore Dairy Rd Fayetteville NC 28303-3415
Phone: (910) 487-1832
Fax: (910) 487-6950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5646 North Carolina

Profile Details

NPI number 1598819229
LBN Legal business name Beasley, Tamara O.
Credentials CCC,SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 9th, 2007 - about 19 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 1598819229 NPPES
North Carolina MEDICAID 7211258
North Carolina MEDICAID 7412318
North Carolina Other 013X1
North Carolina Other 1397H

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