Doctor Name: | MS. LAURA ANTON IA NITSCHE |
NPI Number: | 1770669269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC SLP |
License Number: | 596569 |
Business Practice Address: | 618 Beaser Avenue Ashland, WI - 54806 |
Business Phone Number: | 7156822363 |
Business Fax Number: | 7156827244 |
Mailing Address: | 1011 Chapple Avenue, ASHLAND |
State: | WI |
Postal Code: | 54806 |
Phone Number: | 7156822363 |
Fax Number: | 7156827244 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 596569 |
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 |