Individual
MRS. BETHANY PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LONGSDORF WAY, CARLISLE, PA 17015-7623
(717) 462-4028
Mailing address
1 LONGSDORF WAY, CARLISLE, PA 17015-7623
(717) 462-4028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012747
PA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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