Doctor Name: | DR. BRIDGETTE-MAY DELORES WALDEMAR |
NPI Number: | 1790917177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DEDL.MED.,CCC/SLP |
License Number: | SA 4874 |
Business Practice Address: | 14772 69th Dr N West Palm Beach, FL - 334181906 |
Business Phone Number: | 5616562411 |
Business Fax Number: | 5618285771 |
Mailing Address: | 14772 69th Dr N, WEST PALM BEACH |
State: | FL |
Postal Code: | 334181906 |
Phone Number: | 5616562411 |
Fax Number: | 5618285771 |
NPI Enumeration Date: | 08/18/2009 |
NPI Last Update Date: | 11/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 4874 |
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 |