Individual
BETHANY ANN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2919 WINDING TRAIL DR, VALRICO, FL 33596-7919
(708) 373-0094
Mailing address
2919 WINDING TRAIL DR, VALRICO, FL 33596-7919
(708) 373-0094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242001495
IL
235Z00000X
Speech-Language Pathologist
Primary
SA19180
FL
Other
Enumeration date
10/02/2010
Last updated
03/09/2023
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