Doctor Name: | MRS. ANNETTE MARIE CASEY |
NPI Number: | 1790078954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA/CCC-SLP/L |
License Number: | 5580 |
Business Practice Address: | 750 E Louisiana St Saint Croix Falls, WI - 540249501 |
Business Phone Number: | 7154839815 |
Business Fax Number: | |
Mailing Address: | 5970 295th St, STACY |
State: | MN |
Postal Code: | 550798614 |
Phone Number: | 6127160743 |
Fax Number: | 6514089037 |
NPI Enumeration Date: | 05/20/2011 |
NPI Last Update Date: | 05/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5580 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
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 |