Individual
MRS. BETHANY ROSE HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CFY
Contact information
Practice address
420 GAFFNEY DR, WATERTOWN, NY 13601-1823
(315) 836-1227
Mailing address
1950 US ROUTE 11, HASTINGS, NY 13076-4103
(315) 668-1285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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