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NPI Code Detail

MEDICARE: GABRIELLE BEASLEY

MEDICARE:   GABRIELLE  BEASLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist8534TN

General Provider Information

NPI Number : 1255290292
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE BEASLEY
Provider Business Mailing Address
First Line : 1160 KIMBROUGH RD
Second Line :
City : ASHLAND CITY
State : TN
Zip : 37015-6146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 621 GRACEY AVE
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-4012
Country : US
Telephone Number : 931-648-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ GABRIELLE BEASLEY ” Practice Location

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