Doctor Name: | ROXANNE DEPAUL |
NPI Number: | 1023216769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 43-154 |
Business Practice Address: | 1504 Madison Ave Fort Atkinson, WI - 53538 |
Business Phone Number: | 9205639357 |
Business Fax Number: | 9205686545 |
Mailing Address: | 126 Nautilus Dr, MADISON |
State: | WI |
Postal Code: | 537054330 |
Phone Number: | 6085139398 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 07/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 43-154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |