Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Patrick Beasley

Individual provider Speech-Language Pathologist · NPI 1073342499

Patrick Beasley is a Qualified Speech Language Pathologist in Saint Clair Shores, Michigan. Qualified in 2024, 2 years ago. Practices with University of Minnesota Health Clinics and Surgery Center Inc, a 615-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024
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Practice location Address checks out

21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Phone: (586) 779-7610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7152000935 (MI)

Record details

NPI number1073342499
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Minnesota Health Clinics And Surgery Center Inc — 615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Clair Shores