Individual
BETHANIE JOY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
353 N DESPLAINES ST, APT 3109, CHICAGO, IL 60661-1234
(215) 435-4326
Mailing address
353 N DESPLAINES ST, APT 3109, CHICAGO, IL 60661-1234
(215) 435-4326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011489
IL
235Z00000X
Speech-Language Pathologist
SL011197
PA
Other
Enumeration date
02/06/2013
Last updated
04/22/2013
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