Individual
MRS. BETSY BONIN DETTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1515 W. PLEASANT ST (126), KNOXVILLE, IA 50138-3354
(641) 828-5007
(641) 828-5175
Mailing address
122 BLUEGILL CT, PELLA, IA 50219-7513
(641) 627-5097
(641) 828-5175
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00780
IA
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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