Individual
BETHANNE VANDERMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9285 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9126
(843) 797-8282
Mailing address
85 CREEKSIDE DR, SUMMERVILLE, SC 29485-8193
(843) 270-1229
(866) 855-9443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3828
SC
235Z00000X
Speech-Language Pathologist
8348
NC
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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