Provider Demographics
NPI:1073642898
Name:BIEHL, BETHANY A (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BETHANY
Middle Name:A
Last Name:BIEHL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 OSPREY RD
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:CO
Mailing Address - Zip Code:80615-9046
Mailing Address - Country:US
Mailing Address - Phone:970-308-7414
Mailing Address - Fax:970-674-9121
Practice Address - Street 1:13 MAIN ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5011
Practice Address - Country:US
Practice Address - Phone:970-308-7414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO46335242Medicaid