Individual
BETHANY GRACE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 SAINT JOSEPH ST, RAPID CITY, SD 57701-2822
(605) 415-0543
Mailing address
707 ODDE PL, RAPID CITY, SD 57701-8666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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