Trisha A Bernhardt, M.S.ED., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Setauket, NY

NPI 1295876209 · NPPES record last updated Sep 17, 2012

Key facts

NPI
1295876209
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
012069-1 (NY)
Practice address
14 Research Way
Setauket, NY 11733
Phone
(631) 839-8996
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
012069-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 012069-1 NY Yes

Addresses

Primary practice location

14 Research Way
Setauket, NY 11733

Mailing address

PO Box 484
Smithtown, NY 11787
Phone (631) 839-8996

Other providers in Setauket, NY

All providers in Setauket, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.