Ann Brideweser
Individual provider Active NPI Speech-Language Pathologist · Bolivar, OH
NPI 1306242987 · NPPES record last updated Nov 10, 2014
Key facts
- NPI
- 1306242987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5210 (OH)
- Practice address
- 216 Park Ave NW
Bolivar, OH 44612-9504 - Phone
- (330) 874-3234
- NPI assigned
- Nov 10, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5210 | OH | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5210 | OH | Yes |
Addresses
Primary practice location
216 Park Ave NW
Bolivar, OH 44612-9504
Mailing address
216 Park Ave NW
Bolivar, OH 44612-9504
Phone (330) 874-3234
Other providers in Bolivar, OH
- Anne M Andrus
- Leah Marie Blair
- Bolivar Volunteer Fire Department, Inc.
- Teresa J Carlson
- Cognitive Organics LLC
- Cognitive Organics LLC
- Sarah Downes
- Emily Ann Duggan
All providers in Bolivar, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.