| Organization Name: | UNIVERSITY OF WI - SPEECH, LANGUAGE, AND HEARING CLINIC |
| NPI Number: | 1003952805 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAY JUHNKE (OFFICE MANAGER) |
| Mailing Address: | 1901 4th Ave College Of Professional Studies, Uw-stevens Point Stevens Point |
| State: | WI US |
| Postal Code: | 544811909 |
| Phone Number: | 7153463667 |
| Fax Number: | 7153462157 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 05/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |