Provider Demographics
NPI:1689600140
Name:BEESLEY CARLING, PEGGY JEAN (MS CCC-A)
Entity Type:Individual
Prefix:MS
First Name:PEGGY
Middle Name:JEAN
Last Name:BEESLEY CARLING
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 1:224 B ST
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-2509
Mailing Address - Country:US
Mailing Address - Phone:801-842-2036
Mailing Address - Fax:
Practice Address - Street 1:224 B ST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84103-2509
Practice Address - Country:US
Practice Address - Phone:801-842-2036
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist