Individual
BETHANY D JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
16 DOWN EAST LN, SCARBOROUGH, ME 04074-9047
(207) 289-6270
Mailing address
16 DOWN EAST LN, SCARBOROUGH, ME 04074-9047
(207) 289-6270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
015021-1
NY
235Z00000X
Speech-Language Pathologist
Primary
SP2638
ME
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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