Bethany Jane Waggoner

Speech-Language Pathologist · Dawson Springs, KY

Individual Active NPI

NPI number 1720724958

Practice location

100 W Ramsey St
Dawson Springs, KY 42408-1739
Phone
(813) 227-0797

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NPI record

NPI
1720724958
Entity type
Individual (Type 1)
Enumeration date
May 10, 2022
Last updated
May 17, 2022
Certified
May 17, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 277629 KY
Speech-Language Pathologist 235Z00000X — —

Mailing address

5865 State Route 464
Mayfield, KY 42066-4551
Phone
(270) 705-0314

Other practice locations (1)

  • 115 Cayce Ave, Hopkinsville, KY 42240-3019 · (270) 886-4403

About Bethany Waggoner

Bethany Jane Waggoner is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 100 W Ramsey St, Dawson Springs, KY 42408-1739. The NPI number 1720724958 was assigned on May 10, 2022 and the record was last updated on May 17, 2022.

Bethany Waggoner lists a license in the registry: #277629 (KY) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bethany Jane Waggoner?

The NPI number is 1720724958.

What is the phone number of Bethany Waggoner?

The phone number listed for the practice location is (813) 227-0797.

Where is Bethany Waggoner located?

100 W Ramsey St, Dawson Springs, KY 42408-1739.

What is the taxonomy code for Bethany Waggoner?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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