| Doctor Name: | TROY BEIRNE |
| NPI Number: | 1063649341 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | HIS |
| License Number: | 1311-060 |
| Business Practice Address: | 770 S Main St Ste C14 Fond Du Lac, WI - 549355766 |
| Business Phone Number: | 9209249380 |
| Business Fax Number: | 9209249384 |
| Mailing Address: | 770 S Main St, Ste C14 FOND DU LAC |
| State: | WI |
| Postal Code: | 549355766 |
| Phone Number: | 9209249380 |
| Fax Number: | 9209249384 |
| NPI Enumeration Date: | 06/15/2009 |
| NPI Last Update Date: | 06/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235500000X |
| License Number: | 1311-060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |