Provider Demographics
NPI:1073763223
Name:HESTER, BETH ELAINE (CCC-A, FAAA)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ELAINE
Last Name:HESTER
Suffix:
Gender:F
Credentials:CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 CHESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1212
Mailing Address - Country:US
Mailing Address - Phone:765-965-1977
Mailing Address - Fax:765-965-1311
Practice Address - Street 1:1913 CHESTER BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1212
Practice Address - Country:US
Practice Address - Phone:765-965-1977
Practice Address - Fax:765-965-1311
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002102231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist