Doctor Name: | MS. ANITA SHAWBITZ WIERDA |
NPI Number: | 1427285212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 00961102 |
Business Practice Address: | 14 E. Grove Ct. Freeland, MI - 486237805 |
Business Phone Number: | 9897814324 |
Business Fax Number: | |
Mailing Address: | 14 E Grove Ct, FREELAND |
State: | MI |
Postal Code: | 486237805 |
Phone Number: | 9097814324 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 00961102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |