Mrs Sally Bern, is a
Speech-language Pathologist based in Castle Rock, Washington. Mrs Sally Bern is licensed to practice in Washington (license number LL60405634) and her current practice location is
700 Huntington Ave S, Castle Rock, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 501-2910.
NPI number for Mrs Sally Bern is 1194156190 and her current mailing address is 700 Huntington Ave S, Castle Rock, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194156190.
Healthcare Provider's Profile
| Full Name | Mrs Sally Bern |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 700 Huntington Ave S, Castle Rock, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194156190
- Provider Enumeration Date: 12/02/2013
- Last Update Date: 12/02/2013
Medical Identifiers
Medical identifiers for Mrs Sally Bern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194156190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | LL60405634 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sally Bern is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Sally Bern,
700 Huntington Ave S,
Castle Rock, WA 98611-8902
Ph: (360) 501-2910 | Mrs Sally Bern,
700 Huntington Ave S,
Castle Rock, WA 98611-8902
Ph: (360) 501-2910 |
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