Provider Demographics
NPI:1740067420
Name:WILLIAMS, BETHANY F (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:F
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:LOCKLAND
Mailing Address - State:OH
Mailing Address - Zip Code:45215-4311
Mailing Address - Country:US
Mailing Address - Phone:513-319-8442
Mailing Address - Fax:
Practice Address - Street 1:8850 WINTON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3838
Practice Address - Country:US
Practice Address - Phone:513-728-3737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3059036235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist