Individual provider · NPI-1

Bethany Bandy

Speech-Language Pathologist, · Joplin, MO

NPI number1801319678
StatusActive
Last updated in NPPESJul 24, 2017

Details

NPI
1801319678
Entity type
Individual (NPI-1)
Name
Bethany Bandy
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2017
Last updated
Jul 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2013045301MOYes

Practice location

1323 E 28th St
Joplin, MO 64804-2966

Phone 417-625-5360

Mailing address

12110 Clayton Rd
Saint Louis, MO 63131-2516

Phone 314-989-8150

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist, providers in Joplin, MO