Organization Name: | BIRD KERN AND DALMIA |
NPI Number: | 1063653483 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARILYN REID BIRD (SPEECH/LANGUAGE PATHOLOGIST OWNER) |
Mailing Address: | 595 Millich Dr Ste 105 Campbell |
State: | CA US |
Postal Code: | 950080550 |
Phone Number: | 4083790245 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2009 |
NPI Last Update Date: | 05/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |