| Doctor Name: | MR. JOHN THOMAS BIENKOWSKI |
| NPI Number: | 1770703613 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.- C.C.C.-S.L.P. |
| License Number: | SA 6385 |
| Business Practice Address: | 3901 16th St N Saint Petersburg, FL - 337035603 |
| Business Phone Number: | 7275265432 |
| Business Fax Number: | 7275265432 |
| Mailing Address: | 7236 15th Ct Ne, SAINT PETERSBURG |
| State: | FL |
| Postal Code: | 337024604 |
| Phone Number: | 7275283727 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 04/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA 6385 |
| 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 |