Individual
MISS BETHANY A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
78 HARDING AVE, KENMORE, NY 14217-1408
(716) 875-1874
Mailing address
78 HARDING AVE, KENMORE, NY 14217-1408
(716) 875-8751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018570-1
NY
Other
Enumeration date
09/11/2008
Last updated
01/10/2011
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