Individual
BETH KRETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
129 SIMSBURY DR, ITHACA, NY 14850-1728
(607) 257-3209
Mailing address
129 SIMSBURY DR, ITHACA, NY 14850-1728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009525-1
NY
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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