Provider Demographics
NPI:1497949432
Name:BEATMANN, JOSEPHINE UDDO (MCD, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:UDDO
Last Name:BEATMANN
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1357
Mailing Address - Country:US
Mailing Address - Phone:504-234-9917
Mailing Address - Fax:504-832-7208
Practice Address - Street 1:4501 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1357
Practice Address - Country:US
Practice Address - Phone:504-234-9917
Practice Address - Fax:504-832-7208
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4382235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist