Doctor Name: | MRS. MICHELE M PAULSON |
NPI Number: | 1295951689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2265-154 |
Business Practice Address: | 1700 W Stout St Rice Lake, WI - 548685000 |
Business Phone Number: | 7152368200 |
Business Fax Number: | |
Mailing Address: | 724 29th St, CHETEK |
State: | WI |
Postal Code: | 547288015 |
Phone Number: | 7154181116 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 02/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2265-154 |
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 |