Individual
BETHANY L SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
523 FELLOWSHIP RD STE 290, MOUNT LAUREL, NJ 08054-3418
(856) 424-5552
(845) 424-5559
Mailing address
523 FELLOWSHIP RD STE 290, MOUNT LAUREL, NJ 08054-3418
(856) 424-5552
(845) 424-5559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01123600
NJ
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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