Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Renstrom, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1619177946

Bethany Renstrom, CCC-SLP is a Speech-Language Pathologist in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

6126 Jonathan Ln NW
Rochester, MN 55901-5545
Phone: (651) 335-8159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8209 (MN)

Record details

NPI number1619177946
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 24, 2007
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address6126 Jonathan Ln Nw, Rochester, MN 55901-5545

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