Individual
BETHANY FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(230) 483-2100
Mailing address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(260) 483-2100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007200A
IN
Other
Enumeration date
06/07/2019
Last updated
06/10/2025
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