Doctor Name: | MRS. JENNIFER L BARTLE |
NPI Number: | 1740560531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC, NYS LIC. |
License Number: | 019348 |
Business Practice Address: | 4238 State Highway 8 New Berlin, NY - 134112614 |
Business Phone Number: | 6078477599 |
Business Fax Number: | |
Mailing Address: | Po Box 946, OXFORD |
State: | NY |
Postal Code: | 13830 |
Phone Number: | 6073163584 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2011 |
NPI Last Update Date: | 11/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |