Individual
MRS. BETHANN JESWALD WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
7476 BACK CREEK RD, HAMBURG, NY 14075-7202
(716) 646-3240
Mailing address
78 PLEASANT AVE, HAMBURG, NY 14075-4840
(716) 863-7587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009675-1
NY
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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