Provider Demographics
NPI:1134600299
Name:SCARRY, BETHANY DAWN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:DAWN
Last Name:SCARRY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5577 WYLIE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:WV
Mailing Address - Zip Code:26047-1556
Mailing Address - Country:US
Mailing Address - Phone:724-678-2726
Mailing Address - Fax:
Practice Address - Street 1:55707 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:OH
Practice Address - Zip Code:43912-1516
Practice Address - Country:US
Practice Address - Phone:740-635-0853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13206235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist