Provider Demographics
NPI:1528730835
Name:WARD, BETHANY (HAS, BC- HIS)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:HAS, BC- HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 SAVANNAH RD STE 3
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1659
Mailing Address - Country:US
Mailing Address - Phone:302-703-2874
Mailing Address - Fax:
Practice Address - Street 1:1632 SAVANNAH RD STE 3
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1659
Practice Address - Country:US
Practice Address - Phone:302-703-2874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO3-0010288237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist