Doctor Name: | MS. ABIGAIL MARIE MOHONEY |
NPI Number: | 1669793337 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. SLP |
License Number: | 153637 |
Business Practice Address: | 901 Mulberry St. Lake Mills, WI - 53551 |
Business Phone Number: | 9206483144 |
Business Fax Number: | 9206483441 |
Mailing Address: | 5826 Riverside Dr, GREENDALE |
State: | WI |
Postal Code: | 53129 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/17/2010 |
NPI Last Update Date: | 06/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 153637 |
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 |