Individual
BETHANY FREDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5737 ERIE ST, CALEDONIA, WI 53402-1970
(609) 802-4806
Mailing address
4705 RUBY AVE, CALEDONIA, WI 53402-2570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7003-154
WI
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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