Individual
BRIDGET MARY KOEFELDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
41W944 N CIRCLE DR, SAINT CHARLES, IL 60175-7890
(630) 587-9698
Mailing address
41W944 N CIRCLE DR, SAINT CHARLES, IL 60175-7890
(630) 587-9698
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147000771
IL
231HA2400X
Assistive Technology Practitioner Audiologist
147000771
IL
237600000X
Audiologist-Hearing Aid Fitter
Primary
147000771
IL
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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