BETH BARDONNER M.ED TCADC NPI 1598281644

NPI Information

NPI: 1598281644
Provider Name: BETH BARDONNER, M.ED, TCADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3362 UNIVERSITY AVE
WATERLOO, IA
ZIP 50701
Phone: (319) 235-6571
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Beth Bardonner, M.ED, TCADC is an addiction (substance use disorder) counselor in Waterloo, IA. Beth Bardonner, M.ED, TCADC NPI is 1598281644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3362 UNIVERSITY AVE
WATERLOO, IA
ZIP 50701-006
Phone: (319) 235-6571

The enumeration date for this NPI number is 8/21/2017 and was last updated on 8/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	510245708	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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