Doctor Name: | MRS. KIM FRANDA |
NPI Number: | 1194968453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 378-154 |
Business Practice Address: | 1335 S Oneida St Appleton, WI - 549151351 |
Business Phone Number: | 9207316646 |
Business Fax Number: | |
Mailing Address: | W4708 Nature Ct, SHERWOOD |
State: | WI |
Postal Code: | 541699614 |
Phone Number: | 9209894708 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2009 |
NPI Last Update Date: | 04/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 378-154 |
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 |