Berk, Audrey

Berk, Audrey is an sole proprietor health care provider with primary practice located at 11602 Lake Underhill Rd Suite 129, Orlando FL 32825-4458. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Berk, Audrey can be contacted via phone (407) 277-5400.

Contact Information

Primary practice address
11602 Lake Underhill Rd Suite 129 Orlando FL 32825-4458
Phone: (407) 277-5400
Fax: (321) 281-4942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8920 Florida

Profile Details

NPI number 1497884704
LBN Legal business name Berk, Audrey
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2007
Last updated May 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497884704 NPPES
Florida MEDICAID 8919992

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