Individual
BETHANY WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP- INTERN
Contact information
Practice address
824 W MAYFIELD RD, ARLINGTON, TX 76015-3647
(817) 465-2222
Mailing address
1754 SAINT JAMES DR, CARROLLTON, TX 75007-3057
(214) 735-2599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117348
TX
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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