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Contact Information

GINA L BEACH, SLPD, CCC-SLP
1305 COUNTRY CLUB RD
HATTIESBURG, MS39401-7640
 Phone: 817-994-9409
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for GINA L BEACH · (Female)

NPI # 1528800745
Status Active
Credentials SLPD, CCC-SLP
Entity Individual
Enumeration date 06/10/2024
Last updated 06/10/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MS License # S-0921
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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