Provider Demographics
NPI:1487094322
Name:TRAPANI, BETH FANDRICH (MS)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:FANDRICH
Last Name:TRAPANI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:ONTARIO CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14520-0155
Mailing Address - Country:US
Mailing Address - Phone:315-524-1130
Mailing Address - Fax:315-524-1149
Practice Address - Street 1:6200 ONTARIO CENTER ROAD
Practice Address - Street 2:
Practice Address - City:ONTARIO CENTER
Practice Address - State:NY
Practice Address - Zip Code:14520-0155
Practice Address - Country:US
Practice Address - Phone:315-524-1130
Practice Address - Fax:315-524-1149
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant