Doctor Name: | MRS. DARCY LYNETTE VRIEZE |
NPI Number: | 1215100730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 995-154 |
Business Practice Address: | 1222 E Woodland Ave Barron, WI - 548121765 |
Business Phone Number: | 7155379905 |
Business Fax Number: | |
Mailing Address: | 1222 E Woodland Ave, BARRON |
State: | WI |
Postal Code: | 548121765 |
Phone Number: | 7155379905 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2008 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 995-154 |
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 |