MEDICARE: SHERRY A BEECH

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	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1336798032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY A BEECH

Provider Business Mailing Address
First Line	:	1706 HIGHLAND CT
Second Line	:
City	:	ANDERSON
State	:	IN
Zip	:	46011-1317
Country	:	US
Telephone Number	:	765-730-1552
Fax Number	:

Provider Business Practice Location Address
First Line	:	1706 HIGHLAND CT
Second Line	:
City	:	ANDERSON
State	:	IN
Zip	:	46011-1317
Country	:	US
Telephone Number	:	765-730-1552
Fax Number	:

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

Provider Enumeration Date	:	09/05/2019
Last Update Date	:	09/05/2019

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Directions to “ SHERRY A BEECH ” Practice Location

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