Individual
MRS. BETHANY ALICE MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7654
Mailing address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12107115
MI
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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