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Contact Information

COLLEEN M BEAVERS, M.A., CCC/SLP
2715 N 27TH ST
DECATUR, IL62526-2126
 Phone: 217-429-1052
 Fax: 217-423-7605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for COLLEEN M BEAVERS · (Female)

NPI Number 1013100437
Status Active
Credentials M.A., CCC/SLP
Entity Individual
Enumeration date 08/20/2007
Last updated 08/20/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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