MISS Bethany Suzanne Genevro, MSCCCSLP
NPI #1205247319 in Laporte, Pennsylvania
Provider Information
- NPI Number
- 1205247319
- Entity Type
- Individual
- Name
- MISS Bethany Suzanne Genevro, MSCCCSLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MSCCCSLP
- Enumeration Date
- May 12, 2014
- Last Updated
- May 12, 2014
Practice Location
- Address
- 918 MAIN STREET
- City
- Laporte
- State
- Pennsylvania
- ZIP Code
- 18626
- Phone
- (570) 946-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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