Doctor Name: | MS. BERNADETTE CINTHIA LAFOND |
NPI Number: | 1194943548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC, SLP |
License Number: | 41YS00434300 |
Business Practice Address: | 1199 Pleasant Valley Way West Orange, NJ - 070521424 |
Business Phone Number: | 9732436956 |
Business Fax Number: | |
Mailing Address: | 2005 New York Ave Apt 2, UNION CITY |
State: | NJ |
Postal Code: | 070874430 |
Phone Number: | 2013488903 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00434300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |