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NPI Code Detail

MEDICARE: MS. CARLA ANN BERNIER MA CCC SLP

MEDICARE:  MS. CARLA ANN BERNIER  MA CCC SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2099MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SP0005OTHERMABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1427082205
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARLA ANN BERNIER MA CCC SLP
Provider Business Mailing Address
First Line : 13B SNOWBERRY CIR
Second Line :
City : SOUTH DEERFIELD
State : MA
Zip : 01373-9621
Country : US
Telephone Number : 413-218-7540
Fax Number :
Provider Business Practice Location Address
First Line : 13B SNOWBERRY CIR
Second Line :
City : SOUTH DEERFIELD
State : MA
Zip : 01373-9621
Country : US
Telephone Number : 413-218-7540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 05/16/2024

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Directions to “ MS. CARLA ANN BERNIER MA CCC SLP” Practice Location

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