Doctor Name: | CHRISTY LYNN BARTEK |
NPI Number: | 1922173459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 22003633A |
Business Practice Address: | 100 Navarre Pl Suite 6650 South Bend, IN - 466011156 |
Business Phone Number: | 5746471350 |
Business Fax Number: | 5746471351 |
Mailing Address: | 328 N Michigan St, Suite 200 SOUTH BEND |
State: | IN |
Postal Code: | 466011244 |
Phone Number: | 5746471842 |
Fax Number: | 5746471825 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003633A |
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 |