National Provider Identifier

Bethany A Miller, M.A.CCC-SLP

Bethany A Miller, M.A.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (716) 875-1874.

NPI 1508015876Kenmore, NYSpeech-Language Pathologist

Profile Overview

NPI
1508015876
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 11, 2008
Last Updated
January 10, 2011

Practice Location

  • 78 Harding Ave
  • Kenmore, NY 14217-1408

Phone: (716) 875-1874

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1508015876
Entity Type
Individual
Last Name
Miller
First Name
Bethany
Middle Name
A
Name Prefix
Miss
Credential
M.A.CCC-SLP
Mailing Street Address
78 Harding Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1408
Mailing Country
US
Mailing Phone
(716) 875-8751
Practice Street Address
78 Harding Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1408
Practice Country
US
Practice Phone
(716) 875-1874
Enumeration Date
September 11, 2008
Last Updated
January 10, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)