Doctor Name: | MR. ADAM EDWARD VANRANST |
NPI Number: | 1891903506 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS-CCC-SLP |
License Number: | 2470154 |
Business Practice Address: | 425 Davis St Hammond, WI - 540159615 |
Business Phone Number: | 7157962218 |
Business Fax Number: | |
Mailing Address: | 1090 7th Ave, BALDWIN |
State: | WI |
Postal Code: | 540029223 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2470154 |
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 |