Provider Demographics
NPI:1558053926
Name:ST.BERNARD, AALIYAH VERNICE
Entity Type:Individual
Prefix:
First Name:AALIYAH
Middle Name:VERNICE
Last Name:ST.BERNARD
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 1:950 E 89TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3911
Mailing Address - Country:US
Mailing Address - Phone:718-272-4773
Mailing Address - Fax:
Practice Address - Street 1:180 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3507
Practice Address - Country:US
Practice Address - Phone:162-671-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist