Individual
MRS. BETHANY CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5000 14TH ST NW, WASHINGTON, DC 20011-6926
(716) 949-2036
Mailing address
7333 NEW HAMPSHIRE AVE, UNIT 1217, TAKOMA PARK, MD 20912-6958
(716) 949-2036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
07166
MD
235Z00000X
Speech-Language Pathologist
Primary
SLP000645
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
NY
Enumeration date
01/13/2012
Last updated
06/25/2014
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