MEDICARE: MS. KATIE L BECK M.A.,CCC-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
1	235Z00000X	Speech-Language Pathologist	2202004767	VA
2	235Z00000X	Speech-Language Pathologist	SL008791	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7275784	OTHER	VA	AETNA

General Provider Information

NPI Number	:	1689710501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATIE L BECK M.A.,CCC-SLP

Provider Business Mailing Address
First Line	:	1403 JEFFERSON HEIGHTS RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-4809
Country	:	US
Telephone Number	:	412-862-0280
Fax Number	:

Provider Business Practice Location Address
First Line	:	1403 JEFFERSON HEIGHTS RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-4809
Country	:	US
Telephone Number	:	412-862-0280
Fax Number	:

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	02/21/2012

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Directions to “ MS. KATIE L BECK M.A.,CCC-SLP” Practice Location

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