Doctor Name: | MRS. BETHANY CONWAY |
NPI Number: | 1124399720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 07166 |
Business Practice Address: | 5000 14th St Nw Washington, DC - 200116926 |
Business Phone Number: | 7169492036 |
Business Fax Number: | |
Mailing Address: | 7333 New Hampshire Ave, Unit 1217 TAKOMA PARK |
State: | MD |
Postal Code: | 209126958 |
Phone Number: | 7169492036 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2012 |
NPI Last Update Date: | 06/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 07166 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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 |