Individual
BETHANY PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
301 ORAVETZ PL SE, AUBURN, WA 98092-8601
(253) 931-4748
Mailing address
PO BOX 2317, AUBURN, WA 98071-2317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60920703
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14154472
ASHA
—
01
—
60920703
WA DEPARTMENT OF HEALTH
WA
Enumeration date
12/21/2018
Last updated
12/21/2018
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