Individual
BETHANY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGY
Contact information
Practice address
3201 2ND ST, FAYETTEVILLE, AR 72704-5273
(479) 872-1800
(479) 872-4654
Mailing address
3201 2ND ST, FAYETTEVILLE, AR 72704-5273
(479) 872-1800
(479) 872-4654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P9030
AR
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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