Individual
BETHANY BANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1323 E 28TH ST, JOPLIN, MO 64804-2966
(417) 625-5360
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013045301
MO
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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