What is Bethany Iwanski's NPI number?

The NPI number assigned to this healthcare provider is 1952586562, enumerated as a individual on January 2, 2008.

What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

BETHANY IWANSKI DEV. SPECIALIST - NPI 1952586562

Q: Where is the provider located?

The provider is located at 176 MAIN ST KENNEDY DONOVAN CENTER SOUTHBRIDGE, MA 01550 and the phone number is (508) 765-0292.

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About Bethany Iwanski Dev. Specialist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY IWANSKI DEV. SPECIALIST (NPI 1952586562) is an individual specialist in Southbridge, Massachusetts and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1952586562

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameBETHANY IWANSKICredential: DEV. SPECIALIST

Location Address176 MAIN ST, KENNEDY DONOVAN CENTERSouthbridge, MA 01550-2561

Mailing Address176 Main St, Kennedy Donovan CenterSouthbridge, MA 01550-2561 · (508) 765-0292 · Fax (508) 765-0294

Phone(508) 765-0292

Fax(508) 765-0294

Sole ProprietorYes

Enumeration DateJanuary 2, 2008

✔ NPI 1952586562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

176 MAIN ST, Southbridge, MA 01550

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