Doctor Name: | ANDREA GULMIRE |
NPI Number: | 1649505371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 2511-154 |
Business Practice Address: | 2600 S Heritage Woods Dr Appleton, WI - 549151408 |
Business Phone Number: | 9202256870 |
Business Fax Number: | |
Mailing Address: | N3951 Shamrock Cir, FREEDOM |
State: | WI |
Postal Code: | 549139242 |
Phone Number: | 9206802966 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2009 |
NPI Last Update Date: | 10/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2511-154 |
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 |