Doctor Name: | BETHANY B THOMAS |
NPI Number: | 1063719862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH PATHOLOGIST |
License Number: | SP0000002245 |
Business Practice Address: | 2340 Knob Creek Road Suite 704 Johnson City, TN - 37604 |
Business Phone Number: | 4239299101 |
Business Fax Number: | 4234342032 |
Mailing Address: | 2340 Knob Creek Road, Suite 704 JOHNSON CITY |
State: | TN |
Postal Code: | 37604 |
Phone Number: | 4239299101 |
Fax Number: | 4234342032 |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 02/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP0000002245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |