Doctor Name: | MS. HEIDI LYNN RADDATZ |
NPI Number: | 1669688347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 2847-154 |
Business Practice Address: | 900 Boyce Dr Rhinelander, WI - 545013835 |
Business Phone Number: | 7153656654 |
Business Fax Number: | |
Mailing Address: | 302 N Metonga Ave, CRANDON |
State: | WI |
Postal Code: | 545201344 |
Phone Number: | 7158891584 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 12/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2847-154 |
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 |