Provider Demographics
NPI:1508059320
Name:LIEN, BETHANY DAY (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:DAY
Last Name:LIEN
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:DAY
Other - Last Name:WESTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:638 W PASEO WAY
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3529
Mailing Address - Country:US
Mailing Address - Phone:503-559-4979
Mailing Address - Fax:
Practice Address - Street 1:7400 N ORACLE RD
Practice Address - Street 2:SUITE 143
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6331
Practice Address - Country:US
Practice Address - Phone:520-885-9567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3950168235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist