Provider Demographics
NPI:1598880718
Name:BERNIER, JUDITH (SPEECH-LANGUAGE PATH)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:BERNIER
Suffix:
Gender:F
Credentials:SPEECH-LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WINTER ST
Mailing Address - Street 2:B
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1516
Mailing Address - Country:US
Mailing Address - Phone:978-502-5351
Mailing Address - Fax:
Practice Address - Street 1:90 PRINCETON BOULEVARD
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851
Practice Address - Country:US
Practice Address - Phone:978-454-8086
Practice Address - Fax:978-453-9772
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist