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NPI Code Detail

MEDICARE: KIMBERLY A. BERNERT M.A., CCC-SLP

MEDICARE: KIMBERLY A. BERNERT M.A., 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 Pathologist2013029027MO

General Provider Information

NPI Number : 1891229860
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A. BERNERT M.A., CCC-SLP
Provider Business Mailing Address
First Line : 607 S NEW BALLAS RD STE 2300
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8234
Country : US
Telephone Number : 314-251-6394
Fax Number : 314-251-4235
Provider Business Practice Location Address
First Line : 607 S NEW BALLAS RD STE 2300
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8234
Country : US
Telephone Number : 314-251-6394
Fax Number : 314-251-4235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2017
Last Update Date : 08/10/2023

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Directions to “ KIMBERLY A. BERNERT M.A., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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