Provider Demographics
NPI:1720476427
Name:BIENER, JENNIFER (MS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:BIENER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 PIERMONT AVE S
Mailing Address - Street 2:APT. 217
Mailing Address - City:RIVERVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-5713
Mailing Address - Country:US
Mailing Address - Phone:201-693-3341
Mailing Address - Fax:
Practice Address - Street 1:521 PIERMONT AVE S
Practice Address - Street 2:APT. 217
Practice Address - City:RIVERVALE
Practice Address - State:NJ
Practice Address - Zip Code:07675-5713
Practice Address - Country:US
Practice Address - Phone:201-693-3341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-03
Last Update Date:2015-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist