Provider Demographics
NPI:1275653990
Name:BEISH, BARBARA JANE (SLP CCC MED)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JANE
Last Name:BEISH
Suffix:
Gender:F
Credentials:SLP CCC MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 STRONACH ROAD
Mailing Address - Street 2:
Mailing Address - City:GRAMPIAN
Mailing Address - State:PA
Mailing Address - Zip Code:16838
Mailing Address - Country:US
Mailing Address - Phone:814-236-0392
Mailing Address - Fax:
Practice Address - Street 1:1633 BIGLER PHILIPSBURG HIGHWAY
Practice Address - Street 2:CEN CLEAR CHILD SERVICES INC
Practice Address - City:WEST DECATUR
Practice Address - State:PA
Practice Address - Zip Code:16866
Practice Address - Country:US
Practice Address - Phone:814-342-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000632L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist