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NPI Code Detail

MEDICARE: MISS JENNA BEIM M.S. CFY-SLP

MEDICARE:  MISS JENNA  BEIM  M.S. CFY-SLP
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1184049348
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JENNA BEIM M.S. CFY-SLP
Provider Business Mailing Address
First Line : 2 GOLDEN RD
Second Line :
City : SUFFERN
State : NY
Zip : 10901-3219
Country : US
Telephone Number : 845-300-0302
Fax Number :
Provider Business Practice Location Address
First Line : 254 S MAIN ST STE 400
Second Line :
City : NEW CITY
State : NY
Zip : 10956-3363
Country : US
Telephone Number : 845-638-1592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2014
Last Update Date : 02/25/2014

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Directions to “ MISS JENNA BEIM M.S. CFY-SLP” Practice Location

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