Individual
BETHANY LYN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
41 MIDWAY PARK DR, SAINT AUGUSTINE, FL 32084-6632
(904) 477-3920
Mailing address
41 MIDWAY PARK DR, SAINT AUGUSTINE, FL 32084-6632
(904) 477-3920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
017652
NY
235Z00000X
Speech-Language Pathologist
Primary
SA9596
FL
Other
Enumeration date
10/01/2008
Last updated
10/18/2022
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