Provider Demographics
NPI:1134430333
Name:ENGLAND, BETHANY D (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:D
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:D
Other - Last Name:WALZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:83 FERNDALE LOOMIS RD.
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:NY
Mailing Address - Zip Code:12754
Mailing Address - Country:US
Mailing Address - Phone:845-292-5618
Mailing Address - Fax:845-292-7293
Practice Address - Street 1:29 SCHOOL HOUSE RD
Practice Address - Street 2:
Practice Address - City:WHITE SULPHYR SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12787
Practice Address - Country:US
Practice Address - Phone:845-292-5618
Practice Address - Fax:845-794-3500
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01309-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist