Individual
BETHANY ELIZABETH THEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9500 MONTGOMERY BLVD NE STE 215, ALBUQUERQUE, NM 87111-2579
(505) 431-4212
Mailing address
1825 GROVE POINT RD APT 301, SAVANNAH, GA 31419-8527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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