Bethanne Vandermolen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3828 Issued in SC

Practice address

9285 Medical Plaza Dr
Charleston, SC 29406-9126

Phone

(843) 797-8282

NPI assigned

Dec 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1508254459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CREEKSIDE DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858193",
            "telephone_number": "843-270-1229",
            "fax_number": "866-855-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9285 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069126",
            "telephone_number": "843-797-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMOLEN",
        "first_name": "BETHANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3828",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth G. Van, APRN, FNP
• Lindsey Alyse Vanbeusecum, M.A., CCC-SLP
• Amy M Vandenberg, PHARMD
• William Alexander Vandergrift III, M.D.
• Lawrence Christopher Vanderham, MD
• Alexandria Carmen Vanderpool
• Taylor Nicole Vanderpool, PHARMD
• Alexis Vanderveen, LISW-CP
• Molly Vanderweit, LCSW
• Catherine Jefferson Vanderwerker, PT, PHD, DPT

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.