Broekema, Bethany Lynn

Broekema, Bethany Lynn is an individual health care provider with primary practice located at 911 Hacienda Dr Ste B , Vista CA 92081-6503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Broekema, Bethany Lynn can be contacted via phone (760) 216-6942.

Contact Information

Primary practice address
911 Hacienda Dr Ste B Vista CA 92081-6503
Phone: (760) 216-6942
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X California

Profile Details

NPI number 1588179519
LBN Legal business name Broekema, Bethany Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Jan 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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