National Provider Identifier
Bethann Jeswald Walters, MA, CCC/SLP
Bethann Jeswald Walters, MA, CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Hamburg, NY and a listed phone number of (716) 646-3240.
Profile Overview
- NPI
- 1629482245
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 12, 2014
- Last Updated
- June 12, 2014
Practice Location
- 7476 Back Creek RD
- Hamburg, NY 14075-7202
Phone: (716) 646-3240
Mailing Address
- 78 Pleasant Ave
- Hamburg, NY 14075-4840
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1629482245
- Entity Type
- Individual
- Last Name
- Walters
- First Name
- Bethann
- Middle Name
- Jeswald
- Name Prefix
- Mrs.
- Credential
- MA, CCC/SLP
- Mailing Street Address
- 78 Pleasant Ave
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-4840
- Mailing Country
- US
- Mailing Phone
- (716) 863-7587
- Practice Street Address
- 7476 Back Creek RD
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-7202
- Practice Country
- US
- Practice Phone
- (716) 646-3240
- Enumeration Date
- June 12, 2014
- Last Updated
- June 12, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)