Provider Demographics
NPI:1548987688
Name:ABIGAIL CAROL BERNDT
Entity type:Organization
Organization Name:ABIGAIL CAROL BERNDT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:BERNDT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CF-SLP
Authorized Official - Phone:701-412-4021
Mailing Address - Street 1:1878 EISENHOWER CIR
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-7457
Mailing Address - Country:US
Mailing Address - Phone:701-412-4021
Mailing Address - Fax:
Practice Address - Street 1:1878 EISENHOWER CIR
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-7457
Practice Address - Country:US
Practice Address - Phone:701-412-4021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty