Provider Demographics
NPI:1518240035
Name:BERNSTEIN, GAIL
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:BERNSTEIN
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 1:5 SURREY ROAD
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027
Mailing Address - Country:US
Mailing Address - Phone:215-782-1997
Mailing Address - Fax:
Practice Address - Street 1:5 SURREY RD
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2929
Practice Address - Country:US
Practice Address - Phone:215-782-1997
Practice Address - Fax:215-782-5086
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2012-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATH000141L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist