Individual
BETHANY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
700 WEST AVE S, REHAB DEPARTMENT, LA CROSSE, WI 54601-4783
(608) 392-9768
(608) 392-7142
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3641
WI
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/06/2012
Last updated
09/15/2020
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