Doctor Name: | BYRON J KRAUSE |
NPI Number: | 1093864993 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MHA MSCCCSLP |
License Number: | 1636154 |
Business Practice Address: | 725 Butler Ave Oshkosh, WI - 54985 |
Business Phone Number: | 9202355100 |
Business Fax Number: | |
Mailing Address: | 725 Butler Avenue, Park View Pleasant Acres Attn Speech Therapy WINNEBAGO |
State: | WI |
Postal Code: | 54985 |
Phone Number: | 9202355100 |
Fax Number: | 9202337352 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1636154 |
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 |