Basic Information
| Provider Information | |||||||||
| NPI: | 1659862282 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOEHNER | ||||||||
| FirstName: | BETHANY | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | MISS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1348 KENSINGTON BLVD | ||||||||
| Address2: | |||||||||
| City: | BOWLING GREEN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 434022168 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194942528 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1021 W POE RD | ||||||||
| Address2: | |||||||||
| City: | BOWLING GREEN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 434029362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193524694 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2018 | ||||||||
| LastUpdateDate: | 05/18/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP.12642 | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.