Individual
BETHANY ELISE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 CHASE HAMMOCK RD, MERRITT ISLAND, FL 32953-7917
(321) 501-4753
Mailing address
707 CHASE HAMMOCK RD, MERRITT ISLAND, FL 32953-7917
(321) 501-4753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9703
FL
Other
Enumeration date
08/21/2020
Last updated
09/22/2020
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