| Doctor Name: | MS. CHRISTINE ELLEN FARRELL |
| NPI Number: | 1053503128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 374-154 |
| Business Practice Address: | 316 N Milwaukee St Suite 208 Milwaukee, WI - 532025885 |
| Business Phone Number: | 4146150665 |
| Business Fax Number: | |
| Mailing Address: | 840 Fox Tail Ln, GRAFTON |
| State: | WI |
| Postal Code: | 530249599 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2007 |
| NPI Last Update Date: | 08/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 374-154 |
| 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 |