Individual
MRS. BETHANY NICOLE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
517 N JEFFERSON ST, HOBART, OK 73651-2035
(405) 308-7192
Mailing address
517 N JEFFERSON ST, HOBART, OK 73651-2035
(405) 308-7192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3779
OK
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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