Individual
MRS. BETH UPDEGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
182 GARRET WAY, PORT MATILDA, PA 16870-7047
(814) 880-7809
Mailing address
182 GARRET WAY, PORT MATILDA, PA 16870-7047
(814) 880-7809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007974
PA
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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