Individual
DOLORES BERNKNOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.C.C.-S.L.P.
Contact information
Practice address
130 PINE CIR, BOCA RATON, FL 33432-3648
(561) 361-0307
Mailing address
1600 PARKSIDE CIR S, BOCA RATON, FL 33486-8565
(561) 447-1168
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA7095
FL
235Z00000X
Speech-Language Pathologist
Primary
SA7095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888876100
—
FL
01
—
SA7095
LICENSE
FL
Enumeration date
04/16/2007
Last updated
08/30/2011
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