Provider Demographics
NPI:1386476828
Name:KESSLER, BETHANY (SLP-CCC)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP-CCC
Mailing Address - Street 1:14330 E 42ND ST S
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-4751
Mailing Address - Country:US
Mailing Address - Phone:816-373-7442
Mailing Address - Fax:
Practice Address - Street 1:14330 E 42ND ST S
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-4751
Practice Address - Country:US
Practice Address - Phone:816-373-7442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024028893235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist