Walden, Bethany Lee

Walden, Bethany Lee is an individual health care provider with primary practice located at 21216 Olean Blvd Ste 4 , Port Charlotte FL 33952-6722. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Walden, Bethany Lee can be contacted via phone (941) 766-8886.

Contact Information

Primary practice address
21216 Olean Blvd Ste 4 Port Charlotte FL 33952-6722
Phone: (941) 766-8886
Fax: (941) 766-8804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY211 Florida

Profile Details

NPI number 1295821346
LBN Legal business name Walden, Bethany Lee
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Aug 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295821346 NPPES
Florida Other 204102500 U.S. DEPT OF LABOR
Florida Other S0808 U.S. DEPT OF LABOR
Florida MEDICAID 600341900 U.S. DEPT OF LABOR
Florida Other 2667047 U.S. DEPT OF LABOR
Florida Other 640004249 U.S. DEPT OF LABOR
Florida Other 7139291 U.S. DEPT OF LABOR

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