Individual
MRS. BETH LAUREN ORTHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
31 LONG HOUSE WAY, COMMACK, NY 11725-1365
(631) 269-7896
Mailing address
31 LONG HOUSE WAY, COMMACK, NY 11725-1365
(631) 269-7896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018663-1
NY
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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