Individual
BETHANY LEA PERGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
816 BRIGHTON RD, RALEIGH, NC 27610-1610
(919) 244-9886
Mailing address
816 BRIGHTON RD, RALEIGH, NC 27610-1610
(919) 244-9886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6387
NC
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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