MEDICARE: MRS. BESS M BANDY

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	9259	NC

General Provider Information

NPI Number	:	1740599133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BESS M BANDY

Provider Business Mailing Address
First Line	:	183 LANDIA DR
Second Line	:
City	:	HENDERSONVILLE
State	:	NC
Zip	:	28739-3127
Country	:	US
Telephone Number	:	828-891-3735
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 W CAMPUS DR
Second Line	:
City	:	FLAT ROCK
State	:	NC
Zip	:	28731-4774
Country	:	US
Telephone Number	:	828-692-7068
Fax Number	:

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

Provider Enumeration Date	:	10/01/2010
Last Update Date	:	10/01/2010

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Directions to “ MRS. BESS M BANDY ” Practice Location

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