Provider Demographics
NPI:1205212057
Name:BIERNACKI, JULIE FAYE (AUD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:FAYE
Last Name:BIERNACKI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9639 WINSTON
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1694
Mailing Address - Country:US
Mailing Address - Phone:248-943-7513
Mailing Address - Fax:
Practice Address - Street 1:28481 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3501
Practice Address - Country:US
Practice Address - Phone:248-727-2788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000704231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist