Individual
HEATHER BETHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED. S.
Contact information
Practice address
70 N BROADWAY ST, AKRON, OH 44308-1911
(330) 761-3067
Mailing address
7605 ONYX AVE NW, MASSILLON, OH 44646-9073
(937) 572-4177
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1199642
OH
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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