Most Relevant Information
Provider Data
| NPI Number: | 1003252784 |
| Provider Name: | BERIT BILQUIST |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | TSLP8302 |
Most Important Dates
| Enumeration Date: | 05/21/2013 |
| Last Updated: | 05/21/2013 |
Provider Practice Location
4600 E SHEA BLVD STE 101
PHOENIX
AZ
850286031
Practice Location Phone/Fax
| Phone: | 6023688601 |
| Fax: |
Provider Mailing Location
17986 W HUBBARD DR
GOODYEAR
AZ
853385441
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |