Individual
BETHANY ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 LBJ FWY, SUITE 602, DALLAS, TX 75243-4545
(469) 249-1883
Mailing address
9441 LBJ FWY, SUITE 602, DALLAS, TX 75243-4545
(469) 249-1883
(877) 788-7505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7452
LA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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