Individual
BETHANY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
911 MADRONE DR, GEORGETOWN, TX 78628-4010
(512) 966-6418
Mailing address
911 MADRONE DR, GEORGETOWN, TX 78628-4010
(512) 966-6418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100363
TX
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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