Doctor Name: | RALPH CONRAD |
NPI Number: | 1578716643 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | 1129 |
Business Practice Address: | 5500 E Kellogg Dr Wichita, KS - 672181607 |
Business Phone Number: | 3166852221 |
Business Fax Number: | |
Mailing Address: | 600 S Longfellow St, WICHITA |
State: | KS |
Postal Code: | 672072320 |
Phone Number: | 3166839454 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2008 |
NPI Last Update Date: | 11/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1129 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |