Bethany Burgess
Speech-Language Pathologist, in Seymour, TX. Individual provider (NPI-1).
NPI number1982146932
StatusActive
Last updated in NPPESNov 8, 2016
Details
- NPI
- 1982146932
- Entity type
- Individual (NPI-1)
- Name
- Bethany Burgess
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2016
- Last updated
- Nov 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 111375 | TX | Yes |
Other names
- Bethany Hope Brown (Professional Name)
Practice location
508 S Donald StSeymour, TX 76380-2812
Phone 940-256-1053
Mailing address
508 S Donald StSeymour, TX 76380-2812
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