Doctor Name: | MS. RUTH M THIELEN |
NPI Number: | 1386801884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC SLP |
License Number: | 1647154 |
Business Practice Address: | 1126 S 70th Street Suite S305b Wheaton Franciscan Rehab Services West Allis, WI - 53214 |
Business Phone Number: | 4144562336 |
Business Fax Number: | 4144562339 |
Mailing Address: | 1126 S 70th Street Suite S305b, Wheaton Franciscan Rehab Services WEST ALLIS |
State: | WI |
Postal Code: | 53214 |
Phone Number: | 4144562336 |
Fax Number: | 4144562339 |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 10/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1647154 |
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 |