Individual
MS. BETH ELLEN MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
13016 COBBLE LN, CLIFTON, VA 20124-1097
(703) 266-6344
Mailing address
13016 COBBLE LN, CLIFTON, VA 20124-1097
(703) 266-6344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004782
VA
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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