Provider Demographics
NPI:1306183694
Name:QUIGLEY, BOBBIE E (MS, MA)
Entity Type:Individual
Prefix:MRS
First Name:BOBBIE
Middle Name:E
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 ROTELLA ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-5531
Mailing Address - Country:US
Mailing Address - Phone:805-375-1018
Mailing Address - Fax:
Practice Address - Street 1:1205 ROTELLA ST
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-5531
Practice Address - Country:US
Practice Address - Phone:805-375-1018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP6005235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist