Organization
BETHANY ANDERSON SLP LLC
Active
Other names
Cultivate Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY ANDERSON CCC-SLP (OWNER)
(405) 207-4264
Entity
Organization
Contact information
Practice address
3516 NW 44TH ST, OKLAHOMA CITY, OK 73112-6146
(405) 207-4264
Mailing address
3516 NW 44TH ST, OKLAHOMA CITY, OK 73112-6146
(405) 207-4264
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
10/03/2024
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