| Doctor Name: | BETHANY WITTE |
| NPI Number: | 1487072773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHS CCC-SLP |
| License Number: | 146.012034 |
| Business Practice Address: | 330 Eisenhower Ln N Lombard, IL - 601485405 |
| Business Phone Number: | 8007731682 |
| Business Fax Number: | 3098833632 |
| Mailing Address: | 5930 Emerald Pointe Dr, PLAINFIELD |
| State: | IL |
| Postal Code: | 605866534 |
| Phone Number: | 6189783010 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2014 |
| NPI Last Update Date: | 05/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146.012034 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |