Doctor Name: | TODD GABRIEL HERSHBERGER |
NPI Number: | 1821404047 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CF-SLP |
License Number: | 242.003048 |
Business Practice Address: | 112 Jefferson St West Union, IA - 521751022 |
Business Phone Number: | 5634223811 |
Business Fax Number: | |
Mailing Address: | 112 Jefferson St, WEST UNION |
State: | IA |
Postal Code: | 521751022 |
Phone Number: | 5634223811 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2014 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242.003048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |