Provider Demographics
NPI:1326598608
Name:FINGLAND, DEVON BERGTHORA
Entity Type:Individual
Prefix:MRS
First Name:DEVON
Middle Name:BERGTHORA
Last Name:FINGLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 KING ST.
Mailing Address - Street 2:BOX 33
Mailing Address - City:AYLESBURY
Mailing Address - State:SK
Mailing Address - Zip Code:S0G0B0
Mailing Address - Country:CA
Mailing Address - Phone:639-208-7070
Mailing Address - Fax:
Practice Address - Street 1:201 KING ST.
Practice Address - Street 2:BOX 33
Practice Address - City:AYLESBURY
Practice Address - State:SK
Practice Address - Zip Code:S0G0B0
Practice Address - Country:CA
Practice Address - Phone:639-208-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24758235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist