Victoria Beane, | |
1011 Berks Road, Leesport, PA 19533 | |
(610) 376-4841 | |
Not Available |
Full Name | Victoria Beane |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1011 Berks Road, Leesport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891458659 | NPI | - | NPPES |
PSL001578 | Other | PA | STATE BOARD OF EXAMINERS IN SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | PSL001578 (Pennsylvania) | Primary |
Provider Name | The Mennonite Home |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093053910 PECOS PAC ID: 9830264696 Enrollment ID: O20130425000261 |
Mailing Address | Practice Location Address |
---|---|
Victoria Beane, 1553 Mineral Spring Rd, Reading, PA 19602-2226 Ph: (610) 816-3636 | Victoria Beane, 1011 Berks Road, Leesport, PA 19533 Ph: (610) 376-4841 |
Miss Vanna Jane Houck, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Berk Rd, Leesport, PA 19533 Phone: 610-376-4841 | |
Amanda Rei Summers, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Berk Rd, Leesport, PA 19533 Phone: 610-376-4841 | |
Casey Madtes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1261 County Welfare Rd, Leesport, PA 19533 Phone: 610-376-4841 | |
Hunter Lynn Hartranft, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1011 Berk Rd, Leesport, PA 19533 Phone: 610-376-4841 |