Doctor Name: | MRS. MOLLY SUZANNE LEPAK |
NPI Number: | 1316214653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 3379-154 |
Business Practice Address: | 1821 N 4th Ave Wausau, WI - 544011910 |
Business Phone Number: | 7156759451 |
Business Fax Number: | |
Mailing Address: | 2220 Oxford Ct Apt 8, PLOVER |
State: | WI |
Postal Code: | 544674156 |
Phone Number: | 7155705534 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3379-154 |
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 |