Individual
BETHANY RUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
333 WHEAT RIDGE DR, EPHRATA, PA 17522-8558
(717) 354-1858
Mailing address
601 E MAIN ST, EPHRATA, PA 17522-2537
(717) 572-3064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013410
PA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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