Individual
BETHANY DAWN SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 SE DERBY ST, PULLMAN, WA 99163-2302
(406) 529-9390
Mailing address
110 SE DERBY ST, PULLMAN, WA 99163-2302
(406) 529-9390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61569355
WA
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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