Individual
BETH ANN ALLSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 CAMPBELL ST, VALPARAISO, IN 46385-2363
(219) 462-1023
Mailing address
28435 NEW RD, NORTH LIBERTY, IN 46554-9331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006616A
IN
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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