MEDICARE: MRS. BETHANY D ENGLAND MS, CCC-SLP

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	01309-1	NY

General Provider Information

NPI Number	:	1134430333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETHANY D ENGLAND MS, CCC-SLP

Provider Business Mailing Address
First Line	:	83 FERNDALE LOOMIS RD.
Second Line	:
City	:	LIBERTY
State	:	NY
Zip	:	12754
Country	:	US
Telephone Number	:	845-292-5618
Fax Number	:	845-292-7293

Provider Business Practice Location Address
First Line	:	29 SCHOOL HOUSE RD
Second Line	:
City	:	WHITE SULPHYR SPRINGS
State	:	NY
Zip	:	12787
Country	:	US
Telephone Number	:	845-292-5618
Fax Number	:	845-794-3500

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

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	07/21/2022

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