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MS. TARA TINIQUE BERNARD

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1073194528

Individual Registrant:
MS. TARA TINIQUE BERNARD 
Gender: F
Sole Proprietor

Location and contact information for practice:
1105 N STONEMAN AVE APT B  ALHAMBRA, CA 91801-1079 US
Tel: 626-538-5048  Fax: --

Contact information for business:
1105 N STONEMAN AVE APT B  ALHAMBRA, CA 91801-1079 US
Tel: 626-394-9299  Fax: --

Registration Information:
NPI: 1073194528
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CA23016

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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