Doctor Name: | MRS. ANDREA JANETTE BIDNEY |
NPI Number: | 1104019306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 2232 |
Business Practice Address: | 3717 Dauphin St Mobile, AL - 366081777 |
Business Phone Number: | 2513430909 |
Business Fax Number: | |
Mailing Address: | 144 Ridgewood Dr, DAPHNE |
State: | AL |
Postal Code: | 365267534 |
Phone Number: | 2516263026 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 08/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |