Individual
BETHANY HILLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
11506 S WATERSIDE RD, SOUTH JORDAN, UT 84095-7937
(801) 703-4865
Mailing address
11506 S WATERSIDE RD, SOUTH JORDAN, UT 84095-7937
(801) 703-4865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9368181-4102
UT
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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