MEDICARE: ELENI BEEVE AUD

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
1	231H00000X	Audiologist	2020035173	MO

General Provider Information

NPI Number	:	1003415381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENI BEEVE AUD

Provider Business Mailing Address
First Line	:	5931 KINGSBURY AVE APT 2E
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-1509
Country	:	US
Telephone Number	:	224-436-6749
Fax Number	:

Provider Business Practice Location Address
First Line	:	10004 KENNERLY RD STE 205A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-5108
Country	:	US
Telephone Number	:	314-525-4327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	11/27/2023

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Directions to “ ELENI BEEVE AUD” Practice Location

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