Provider Demographics
NPI:1669463980
Name:BIER, PAULA K (SPEECH THERAPIST)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:K
Last Name:BIER
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4620 VENICE HEIGHTS BLVD APT 150
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-1684
Mailing Address - Country:US
Mailing Address - Phone:419-626-6374
Mailing Address - Fax:419-626-0125
Practice Address - Street 1:4620 VENICE HEIGHTS BLVD APT 150
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-1684
Practice Address - Country:US
Practice Address - Phone:419-626-6374
Practice Address - Fax:419-626-0125
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2009-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP1718235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH353771OtherWELLCARE
OH000000359391OtherANTHEM BLUE CROSS
OH341850088039OtherCARESOURCE
OH353771OtherWELLCARE