Provider Demographics
NPI:1366808487
Name:LOY, BETH
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:LOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 ROSEGLEN WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-8832
Mailing Address - Country:US
Mailing Address - Phone:630-986-2278
Mailing Address - Fax:888-972-9521
Practice Address - Street 1:1317 CAROL LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-1233
Practice Address - Country:US
Practice Address - Phone:630-664-7410
Practice Address - Fax:630-983-5927
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILBL24030813A2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant