Individual
BETHANY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
15 JOEL WAY, NORWALK, OH 44857-2468
(419) 681-3839
Mailing address
15 JOEL WAY, NORWALK, OH 44857-2468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP .9724
OH
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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