Individual
BETHANY GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
3377 FOX RUN RD, DOVER, PA 17315-3705
(717) 767-5634
(717) 767-5657
Mailing address
3377 FOX RUN RD, DOVER, PA 17315-3705
(717) 767-5634
(717) 767-5657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009436
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119814
VITALSTIM THERAPY PROVIDER
—
01
—
12095826
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
PA
01
—
SL009436
PA STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
02/28/2009
Last updated
11/22/2014
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