Individual
BETHANY HALBRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 381-7721
Mailing address
5666 E STATE ST, ROCKFORD, IL 61108-2425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004600
IL
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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