Provider Demographics
NPI:1740367226
Name:BOND, MARY BETH (BC-HIS)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BETH
Last Name:BOND
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1499
Mailing Address - Country:US
Mailing Address - Phone:740-532-1942
Mailing Address - Fax:740-532-1943
Practice Address - Street 1:119 N 4TH ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-1499
Practice Address - Country:US
Practice Address - Phone:740-532-1942
Practice Address - Fax:740-532-1943
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01892237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist