Doctor Name: | MRS. SARAH MARIE SODERBERG |
NPI Number: | 1891089835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSE, CCC-SLP |
License Number: | 3326-154 |
Business Practice Address: | 505 W 8th St New Richmond, WI - 540171524 |
Business Phone Number: | 7152466851 |
Business Fax Number: | 7152466422 |
Mailing Address: | 2390 130th Ave, GLENWOOD CITY |
State: | WI |
Postal Code: | 540138008 |
Phone Number: | 7152201704 |
Fax Number: | 7152466422 |
NPI Enumeration Date: | 06/07/2011 |
NPI Last Update Date: | 06/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3326-154 |
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 |