Individual
BETHANY LYNN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
750 E 40TH ST, HOLLAND, MI 49423-5342
(616) 394-3346
(616) 394-3629
Mailing address
295 HOWARD AVE, HOLLAND, MI 49424-6595
(616) 902-0873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000728
MI
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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