Organization
HAVEN SPEECH AND SWALLOW SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY M RAY MSCCC-SLP (SPEECH PATHOLOGIST/OWNER)
(417) 693-6816
Entity
Organization
Contact information
Practice address
1709 JAMES RIVER RD, OZARK, MO 65721-6724
(417) 693-6816
(888) 550-3518
Mailing address
1709 JAMES RIVER RD, OZARK, MO 65721-6724
(417) 693-6816
(888) 550-3518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004023139
MO
Other
Enumeration date
06/08/2009
Last updated
02/24/2012
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