MEDICARE: PAULA K BIER SPEECH THERAPIST

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
1	235Z00000X	Speech-Language Pathologist	SP1718	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	353771	OTHER	OH	WELLCARE
2	000000359391	OTHER	OH	ANTHEM BLUE CROSS
3	341850088039	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1669463980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA K BIER SPEECH THERAPIST

Provider Business Mailing Address
First Line	:	4620 VENICE HEIGHTS BLVD APT 150
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-1684
Country	:	US
Telephone Number	:	419-626-6374
Fax Number	:	419-626-0125

Provider Business Practice Location Address
First Line	:	4620 VENICE HEIGHTS BLVD APT 150
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-1684
Country	:	US
Telephone Number	:	419-626-6374
Fax Number	:	419-626-0125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	03/01/2009

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Directions to “ PAULA K BIER SPEECH THERAPIST” Practice Location

Language	Start Address	Practice Location

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