Provider Demographics
NPI:1841560752
Name:BECHARD, MARIA F (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:F
Last Name:BECHARD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 CENTERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-9195
Mailing Address - Country:US
Mailing Address - Phone:502-817-7661
Mailing Address - Fax:502-241-2625
Practice Address - Street 1:5920 CENTERWOOD DR
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-9195
Practice Address - Country:US
Practice Address - Phone:502-817-7661
Practice Address - Fax:502-241-2625
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2914235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist