Bethany Christine Rall

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.13014 Issued in OH

Practice address

890 West Fourth Street
Mansfield, OH 44906

Phone

(419) 774-5520

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1285164954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 CONNELY RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448209348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WEST FOURTH STREET",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44906",
            "telephone_number": "419-774-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALL",
        "first_name": "BETHANY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates of Mansfield, Inc
• Sarah R Rager
• Travis Rahe
• Michael Jay Raizen, D.D.S.
• Venkatakrishnan Rajaram, M.D
• Uma Ram, R PH
• Palani K Raman, MD
• Crystal Darnell Rambo, LPN
• Dakota Ramey
• Shannon Ramey, LICDC

• Speech-Language Pathologist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.