Doctor Name: | JOLYNN BIERMAN |
NPI Number: | 1235446071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SLP6717 |
Business Practice Address: | 18555 N 79th Ave Glendale, AZ - 853088370 |
Business Phone Number: | 6234877080 |
Business Fax Number: | 6324874897 |
Mailing Address: | 18555 N 79th Ave, GLENDALE |
State: | AZ |
Postal Code: | 853088370 |
Phone Number: | 6234877080 |
Fax Number: | 6324874897 |
NPI Enumeration Date: | 08/31/2010 |
NPI Last Update Date: | 08/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP6717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |