Provider Demographics
NPI:1346467644
Name:BEEDON, CASEY JEAN (MHS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:JEAN
Last Name:BEEDON
Suffix:
Gender:F
Credentials:MHS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 TURNBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-8343
Mailing Address - Country:US
Mailing Address - Phone:630-640-1589
Mailing Address - Fax:331-472-1090
Practice Address - Street 1:905 TURNBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8343
Practice Address - Country:US
Practice Address - Phone:630-640-1589
Practice Address - Fax:331-472-1090
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
IL146-007903235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist