Individual
BETHANY O'CONNOR COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1833 BOULEVARD FL 3, JACKSONVILLE, FL 32206-4382
(904) 244-3289
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA21509
FL
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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