Provider Demographics
NPI:1578119624
Name:BERNHARDT, JASMINE (AUD)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:BERNHARDT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:PELLETIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:7850 VANCE DR STE 225
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2133
Mailing Address - Country:US
Mailing Address - Phone:303-431-8881
Mailing Address - Fax:
Practice Address - Street 1:7850 VANCE DR STE 225
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2133
Practice Address - Country:US
Practice Address - Phone:303-431-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-14
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter