Individual
BETHANY JAN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
616 S CREYTS RD STE B, LANSING, MI 48917-8269
(224) 523-1429
Mailing address
616 S CREYTS RD STE B, LANSING, MI 48917-8269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14285244
MI
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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