Individual
BETHANY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 GE RD STE 2, BLOOMINGTON, IL 61704-2502
(815) 252-1659
Mailing address
2715 GILL ST, BLOOMINGTON, IL 61704-8254
(815) 252-1659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146017975
IL
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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