Doctor Name: | MRS. REBECCA SUE PAULSEN |
NPI Number: | 1588890941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | |
Business Practice Address: | 1005 E 23rd St Suite 200 Fremont, NE - 680250800 |
Business Phone Number: | 8667842329 |
Business Fax Number: | 8775506600 |
Mailing Address: | 2671 Orbit Dr, LAKE ORION |
State: | MI |
Postal Code: | 483601971 |
Phone Number: | 2488954565 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2009 |
NPI Last Update Date: | 05/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |