Doctor Name: | PETER CUMMINGS |
NPI Number: | 1770947400 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3892-154 |
Business Practice Address: | 19525 W North Ave Brookfield, WI - 530454107 |
Business Phone Number: | 2627803813 |
Business Fax Number: | |
Mailing Address: | 19525 W North Ave, BROOKFIELD |
State: | WI |
Postal Code: | 530454107 |
Phone Number: | 2627803813 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2016 |
NPI Last Update Date: | 04/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3892-154 |
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 |