Doctor Name: | KRISTIN LOUISE BLIEFERNICH |
NPI Number: | 1326368317 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SZ4806 |
Business Practice Address: | 2124 Ne 123rd St Suite 204 North Miami, FL - 331812881 |
Business Phone Number: | 3058950444 |
Business Fax Number: | 3058950490 |
Mailing Address: | 17150 N Bay Rd, Apt. 2913 SUNNY ISLES BEACH |
State: | FL |
Postal Code: | 331603413 |
Phone Number: | 8457019492 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2010 |
NPI Last Update Date: | 06/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ4806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |