Provider Demographics
NPI:1386174068
Name:MARKLEY, BERNICE C (MA)
Entity type:Individual
Prefix:
First Name:BERNICE
Middle Name:C
Last Name:MARKLEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:BERNICE
Other - Middle Name:C
Other - Last Name:OHMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:346 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16371-1126
Mailing Address - Country:US
Mailing Address - Phone:814-279-2609
Mailing Address - Fax:
Practice Address - Street 1:346 E MAIN ST
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16371-1126
Practice Address - Country:US
Practice Address - Phone:814-279-2609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390200000X
PASL014040235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program