Individual
BRIDGET L ISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1606 BENT TREE AVE, BOWLING GREEN, KY 42103-6215
(270) 302-2112
Mailing address
1606 BENT TREE AVE, BOWLING GREEN, KY 42103-6215
(270) 302-2112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
161926
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100387870
—
KY
Enumeration date
11/02/2015
Last updated
06/23/2020
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