Individual
MS. BETHANY ANN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4511 ROCKSIDE RD, #330 SUPPLEMENTAL HEALTH CARE, INDEPENDENCE, OH 44131
(216) 901-0400
(216) 901-0401
Mailing address
6818 ALBER AVE, PARMA, OH 44129
(440) 882-6343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8402
OH
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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