MEDICARE: BETHANY FERRARI CONTRERAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093353435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHANY FERRARI CONTRERAS

Provider Business Mailing Address
First Line	:	523 BERRY JAMES CT
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-8514
Country	:	US
Telephone Number	:	502-718-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 NW 11TH ST
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-4360
Country	:	US
Telephone Number	:	786-521-5925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2019
Last Update Date	:	01/13/2026

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Directions to “ BETHANY FERRARI CONTRERAS ” Practice Location

Language	Start Address	Practice Location

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