Provider Demographics
NPI:1528424074
Name:ASKEW, BERNYCIA CRUZ (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:BERNYCIA
Middle Name:CRUZ
Last Name:ASKEW
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18400 ANNCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-2871
Mailing Address - Country:US
Mailing Address - Phone:951-500-9993
Mailing Address - Fax:
Practice Address - Street 1:18400 ANNCHESTER RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-2871
Practice Address - Country:US
Practice Address - Phone:951-500-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46002901A235Z00000X
MI7101005233235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist