Doctor Name: | AUTUMN MEYER |
NPI Number: | 1184007403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4128-154 |
Business Practice Address: | 110 Park Dr 100 Colfax, WI - 547308902 |
Business Phone Number: | 7159624477 |
Business Fax Number: | |
Mailing Address: | 1731 17th Ave, BLOOMER |
State: | WI |
Postal Code: | 547241512 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/06/2015 |
NPI Last Update Date: | 07/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4128-154 |
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 |