Doctor Name: | MS. THERESA M KIVI |
NPI Number: | 1821200098 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 1395-154 |
Business Practice Address: | 2935 East Ave S La Crosse, WI - 546017243 |
Business Phone Number: | 6087875572 |
Business Fax Number: | 6087877775 |
Mailing Address: | 2935 East Ave S, LA CROSSE |
State: | WI |
Postal Code: | 546017243 |
Phone Number: | 6087875572 |
Fax Number: | 6087877775 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 01/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1395-154 |
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 |