Individual
BRIDGET I MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 BRAUN RD, BETHEL PARK, PA 15102-3106
(412) 854-5500
(412) 854-4742
Mailing address
106 CANCILLA DR, CANONSBURG, PA 15317-1828
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1768
WV
235Z00000X
Speech-Language Pathologist
Primary
SL003065L
PA
Other
Enumeration date
08/29/2007
Last updated
06/11/2019
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