MRS. Bethany Anne Lovern, CCC-SLP
NPI #1487066916 in Bloomington, Illinois
Provider Information
- NPI Number
- 1487066916
- Entity Type
- Individual
- Name
- MRS. Bethany Anne Lovern, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Jun 2, 2014
- Last Updated
- Jun 2, 2014
Practice Location
- Address
- 2 GOOSE CREEK DR
- Address 2
- #3323
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-8345
- Phone
- (317) 691-5603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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