Noela K Gerlicher, SLP,MS, CCC

Individual provider Active NPI Speech-Language Pathologist · Bend, OR

NPI 1508095514 · NPPES record last updated Jul 11, 2009

Key facts

NPI
1508095514
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
11232 (OR)
Practice address
20864 Tumalo Rd
Bend, OR 97701-8447
Phone
(541) 389-9377
NPI assigned
Jul 11, 2009
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11232ORMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11232 OR Yes

Addresses

Primary practice location

20864 Tumalo Rd
Bend, OR 97701-8447

Mailing address

20864 Tumalo Rd
Bend, OR 97701-8447
Phone (541) 389-9377

Other identifiers

IdentifierTypeStateIssuer
11232OtherORBORD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY

Other providers in Bend, OR

All providers in Bend, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.