Provider Demographics
NPI:1487829610
Name:BEALS, DARCY L (MS, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:DARCY
Middle Name:L
Last Name:BEALS
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:STREATOR
Mailing Address - State:IL
Mailing Address - Zip Code:61364-4448
Mailing Address - Country:US
Mailing Address - Phone:815-673-2869
Mailing Address - Fax:815-672-9225
Practice Address - Street 1:205 S PARK ST
Practice Address - Street 2:
Practice Address - City:STREATOR
Practice Address - State:IL
Practice Address - Zip Code:61364-4448
Practice Address - Country:US
Practice Address - Phone:815-673-2869
Practice Address - Fax:815-672-9225
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.000596237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter