Doctor Name: | KRISTIN ELIZABETH BERNDT |
NPI Number: | 1073933248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 9095 |
Business Practice Address: | 640 3rd St Gaylord, MN - 553342297 |
Business Phone Number: | 5072372911 |
Business Fax Number: | |
Mailing Address: | 200 Northpointe Cir Ste 102, SEVEN FIELDS |
State: | PA |
Postal Code: | 160467861 |
Phone Number: | 8008158577 |
Fax Number: | 6106125463 |
NPI Enumeration Date: | 04/25/2014 |
NPI Last Update Date: | 04/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |