Provider Demographics
NPI:1568285104
Name:KRISTER, BETHANY (MSPED)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:KRISTER
Suffix:
Gender:F
Credentials:MSPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ALEXANDER WAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-4766
Mailing Address - Country:US
Mailing Address - Phone:978-457-3898
Mailing Address - Fax:
Practice Address - Street 1:14 ALEXANDER WAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-4766
Practice Address - Country:US
Practice Address - Phone:978-457-3898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist