Provider Demographics
NPI:1578764007
Name:SILER, BETTE CARLSON (SLP)
Entity Type:Individual
Prefix:
First Name:BETTE
Middle Name:CARLSON
Last Name:SILER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 HIGH AVE
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-2616
Mailing Address - Country:US
Mailing Address - Phone:845-353-3572
Mailing Address - Fax:845-353-3572
Practice Address - Street 1:92 HIGH AVE
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2616
Practice Address - Country:US
Practice Address - Phone:845-353-3572
Practice Address - Fax:845-353-3572
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012205-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist