Bethany Jo Anderson, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Midwest City, OK

NPI 1245856178 · NPPES record last updated Jan 10, 2023

Key facts

NPI
1245856178
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
101 N Post Rd
Midwest City, OK 73130-3605
Phone
(405) 207-4264
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Anderson SLP LLC Speech-Language Pathologist Current
since Aug 18, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

101 N Post Rd
Midwest City, OK 73130-3605

Mailing address

3516 NW 44TH St
Oklahoma City, OK 73112-6146
Phone (405) 207-4264

Other providers in Midwest City, OK

All providers in Midwest City, OK · Speech-Language Pathologist in Oklahoma

Sources for this page

Verify at the official NPI Registry.