Organization Name: | HUDSON HEARING & SPEECH CLINIC INC |
NPI Number: | 1710984562 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE ANNE DREVNICK (PRESIDENT) |
Mailing Address: | 401 Stageline Rd Suite 6 Hudson |
State: | WI US |
Postal Code: | 540167897 |
Phone Number: | 7155316710 |
Fax Number: | 7155316711 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 06/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |