Doctor Name: | BETHANY SHOAF |
NPI Number: | 1346302361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | |
Business Practice Address: | 313 Walnut St Suite 18 Wilmington, NC - 284014067 |
Business Phone Number: | 9107944555 |
Business Fax Number: | |
Mailing Address: | 5004 Hunt Club Rd Apt 2, WILMINGTON |
State: | NC |
Postal Code: | 284030623 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |