Individual
BETHANY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP, CBIS
Contact information
Practice address
407 3RD ST SE, MINOT, ND 58701-4470
(701) 857-5514
Mailing address
811 9TH ST NW, MINOT, ND 58703-2126
(616) 915-8940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1797
ND
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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