Provider Demographics
NPI:1801682695
Name:DRYJA, BEATRICE MAY (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:BEATRICE
Middle Name:MAY
Last Name:DRYJA
Suffix:
Gender:
Credentials:MA, CCC-SLP
Other - Prefix:MISS
Other - First Name:BEATRICE
Other - Middle Name:MAY
Other - Last Name:GRETZINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:8100 MEDICINE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55427-3404
Mailing Address - Country:US
Mailing Address - Phone:763-334-4409
Mailing Address - Fax:
Practice Address - Street 1:8100 MEDICINE LAKE RD
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55427-3404
Practice Address - Country:US
Practice Address - Phone:763-334-4409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10335235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist