Individual
MS. BERNADETTE TIVENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/A
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2945
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2945
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
41YA00023600
NJ
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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