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Individual

BETHANY PRISCILLA GONCZY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
275 W UNION ST, ATHENS, OH 45701-2313
(740) 594-3571
(740) 592-2212
Mailing address
275 W UNION ST, ATHENS, OH 45701-2313
(740) 594-3571
(740) 592-2212

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A-01741
OH
237600000X
Audiologist-Hearing Aid Fitter
A-0269
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A-0269
A-0269
WV
Enumeration date
07/26/2010
Last updated
03/22/2017
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