Healthcare Provider Details

I. General information

NPI: 1407791221
Provider Name (Legal Business Name): ALISHA K BEERS MS,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BELL HOLE LOOP
CRESCENT CITY CA
95531-5149
US

IV. Provider business mailing address

120 BELL HOLE LOOP
CRESCENT CITY CA
95531-5149
US

V. Phone/Fax

Practice location:
  • Phone: 707-954-1833
  • Fax:
Mailing address:
  • Phone: 707-954-1833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP20445
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: