Individual
BERIT BILQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 E SHEA BLVD STE 101, PHOENIX, AZ 85028-6031
(602) 368-8601
Mailing address
17986 W HUBBARD DR, GOODYEAR, AZ 85338-5441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8302
AZ
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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