Lisa Gayle Bardach in Ann Arbor - Speech-language Pathologist
Lisa Gayle Bardach - NPI 1417165440
Lisa Gayle Bardach is a Speech-language Pathologist in Ann Arbor, Michigan. Lisa Gayle Bardach practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lisa Gayle Bardach is 1417165440. The last update date is 2007-07-08.
Lisa Gayle Bardach's current location address is 2314 Yorkshire Rd, Ann Arbor, Michigan. You can contact this provider via phone number 7349739670 and fax number 7349756970. The mailing address for Lisa Gayle Bardach is 2314 Yorkshire Rd, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Gayle Bardach |
|---|---|
| Address | 2314 Yorkshire Rd, Ann Arbor, Michigan |
| Phone Number | 7349739670 |
| Fax Number | 7349756970 |
| Sole Proprietor | N |
| Credentials | MS, CCC-SL |
NPI Number Detail
| NPI Number | 1417165440 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2314 Yorkshire Rd |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481045041 |
| Phone Number | 7349739670 |
| Fax Number | 7349756970 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1080132 | ASHA CERTIFICATION |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Gayle Bardach by the Centers for Medicare & Medicaid Services?
The Lisa Gayle Bardach has been assigned the NPI (National Provider Identifier) 1417165440. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lisa Gayle Bardach is geographically located?
The Lisa Gayle Bardach is physically situated at the following location: 2314 Yorkshire Rd, Ann Arbor, MI, 481045041.
What is the Lisa Gayle Bardach's area of specialization and corresponding taxonomy classification?
The Lisa Gayle Bardach's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417165440 to Lisa Gayle Bardach?
The Centers for Medicare & Medicaid Services originally issued the 1417165440 to Lisa Gayle Bardach on 2007-05-21.
As of what date were the Lisa Gayle Bardach's details last updated?
The information pertaining to the Lisa Gayle Bardach, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC