Individual
BETHANY COCKRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1997 S MAIN ST STE 601, BLACKSBURG, VA 24060-6606
(540) 961-1230
Mailing address
610 DEERFIELD LN NE, FLOYD, VA 24091-3724
(540) 239-7075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011386
VA
Other
Enumeration date
04/21/2023
Last updated
09/08/2025
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