Provider Demographics
NPI:1942748660
Name:SCHWARTZ, BETHANY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5419
Mailing Address - Country:US
Mailing Address - Phone:808-469-4900
Mailing Address - Fax:808-587-9507
Practice Address - Street 1:677 ALA MOANA BLVD
Practice Address - Street 2:SUITE 625
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5419
Practice Address - Country:US
Practice Address - Phone:808-692-1580
Practice Address - Fax:808-566-6292
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-1069235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist