Doctor Name: | TERRANCE RICHARD WOBIG |
NPI Number: | 1518116417 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SPEECH LANGUAGE PATH |
License Number: | 5191 |
Business Practice Address: | 66 Shady Oak Ct Winona, MN - 559876034 |
Business Phone Number: | 5074540000 |
Business Fax Number: | 5074546724 |
Mailing Address: | 66 Shady Oak Ct, WINONA |
State: | MN |
Postal Code: | 559876034 |
Phone Number: | 5074540000 |
Fax Number: | 5074546724 |
NPI Enumeration Date: | 09/16/2008 |
NPI Last Update Date: | 09/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |