Provider Demographics
NPI:1063653483
Name:BIRD KERN AND DALMIA
Entity Type:Organization
Organization Name:BIRD KERN AND DALMIA
Other - Org Name:BIRD KERN DALMIA
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:REID
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:408-379-0245
Mailing Address - Street 1:1101 S WINCHESTER BLVD, SUITE E 155
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128
Mailing Address - Country:US
Mailing Address - Phone:408-379-0245
Mailing Address - Fax:
Practice Address - Street 1:1101 S WINCHESTER BLVD, SUITE E 155
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-379-0245
Practice Address - Fax:408-379-0361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-14
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty