Individual
MRS. BETHANY ANNE LOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2 GOOSE CREEK DR, #3323, BLOOMINGTON, IL 61701-8345
(317) 691-5603
Mailing address
2 GOOSE CREEK DR, #3323, BLOOMINGTON, IL 61701-8345
(317) 691-5603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011953
IL
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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