Active NPIIndividual provider

Bethany D Jensen, MS CCC-SLP

Speech-Language Pathologist, in Scarborough, Maine

NPI Number1073036323
Practice location
16 Down East Ln, Scarborough, ME 04074-9047
Fax
—
Last updated
July 21, 2022

Bethany D Jensen is a Speech-Language Pathologist, based in Scarborough, ME. Bethany D Jensen practices in Scarborough, ME and has the professional credentials of MS CCC-SLP. The NPI Number for Bethany D Jensen is 1073036323 and holds a License No. 015021-1 (NY). The current practice location address for Bethany D Jensen is 16 Down East Ln, Scarborough, ME 04074-9047 and can be reached out via phone at 207-289-6270.

Provider Profile Details

NPI Number
1073036323
Provider Name
Bethany D Jensen
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
16 Down East Ln, Scarborough, ME 04074-9047
Phone Number
207-289-6270
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2017
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Down East Ln
Scarborough, ME 04074-9047
State
Maine
Zip
04074-9047
Phone Number
207-289-6270
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
16 Down East Ln
Scarborough, ME 04074-9047
City
Scarborough
State
ME
Zip
04074-9047
Phone Number
207-289-6270

License Information

License Number (1)
015021-1
License State (1)
NY
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
SP2638
License State (2)
ME
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bethany D Jensen, MS CCC-SLP?

The NPI number of Bethany D Jensen, MS CCC-SLP is 1073036323. It was assigned on July 19, 2017 and is currently active in the NPPES registry.

What is the specialty of Bethany D Jensen, MS CCC-SLP?

Bethany D Jensen, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 015021-1.

Where does Bethany D Jensen, MS CCC-SLP practice?

The practice location is 16 Down East Ln, Scarborough, ME 04074-9047. The office can be reached at 207-289-6270 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073036323 directly on the NPPES registry website.

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