Provider Demographics
NPI:1558584003
Name:BEAL, JAYME K (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:K
Last Name:BEAL
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:JAYME
Other - Middle Name:K
Other - Last Name:BEAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CCC/SLP
Mailing Address - Street 1:1400 COLORADO ST STE C
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-2490
Mailing Address - Country:US
Mailing Address - Phone:702-566-8255
Mailing Address - Fax:
Practice Address - Street 1:301 N PECOS RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1349
Practice Address - Country:US
Practice Address - Phone:702-566-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP1125235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist