| Doctor Name: | BETHANY GEHRLEIN COLSON |
| NPI Number: | 1306827084 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | 22004321A |
| Business Practice Address: | 9192 Waldemar Rd Indianapolis, IN - 462681131 |
| Business Phone Number: | 3174718560 |
| Business Fax Number: | 3174718627 |
| Mailing Address: | 11378 Cherry Blossom West Dr, FISHERS |
| State: | IN |
| Postal Code: | 460382414 |
| Phone Number: | 3178287202 |
| Fax Number: | 3174718627 |
| NPI Enumeration Date: | 11/09/2005 |
| NPI Last Update Date: | 11/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 22004321A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |