| Doctor Name: | JAMES PAUL BERTINATO |
| NPI Number: | 1891026498 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S, CCC-SLP |
| License Number: | 22004885A |
| Business Practice Address: | 2900 Charlevoix Dr Se Suite 200 Grand Rapids, MI - 495467085 |
| Business Phone Number: | 8006848049 |
| Business Fax Number: | |
| Mailing Address: | 4333 Bell Rd, Apt. 1707 NEWBURGH |
| State: | IN |
| Postal Code: | 476308177 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2010 |
| NPI Last Update Date: | 01/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 22004885A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |