Doctor Name: | MRS. BARBARA JEAN OLDHAM |
NPI Number: | 1023369758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. C.C.C. S.L.P |
License Number: | 2822-154 |
Business Practice Address: | 725 W Park Ave Chippewa Falls, WI - 547293276 |
Business Phone Number: | 7157202071 |
Business Fax Number: | |
Mailing Address: | 1114 Dallas St, Chetek CHETEK |
State: | WI |
Postal Code: | 547289118 |
Phone Number: | 2628127139 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2012 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2822-154 |
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 |