Nicole M Hagen in Arbor Vitae - Speech-language Pathologist
Nicole M Hagen - NPI 1851472930
Nicole M Hagen is a Speech-language Pathologist in Arbor Vitae, Wisconsin. Nicole M Hagen practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Nicole M Hagen is 1851472930. The last update date is 2014-03-13.
Nicole M Hagen's current location address is 2679 Wihega Rd, Arbor Vitae, Wisconsin. You can contact this provider via phone number 7153565989. The mailing address for Nicole M Hagen is 2679 Wihega Rd, Arbor Vitae, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole M Hagen |
|---|---|
| Address | 2679 Wihega Rd, Arbor Vitae, Wisconsin |
| Phone Number | 7153565989 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1851472930 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2014-03-13 |
Provider Mailing Address Detail
| Address | 2679 Wihega Rd |
|---|---|
| City | Arbor Vitae |
| State | Wisconsin (WI) |
| Post Code | 545688802 |
| Phone Number | 7153565989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2572-154 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42561400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Nicole M Hagen by the Centers for Medicare & Medicaid Services?
The Nicole M Hagen has been issued the NPI (National Provider Identifier) 1851472930, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Nicole M Hagen is physically located?
The Nicole M Hagen is physically situated at the following address: 2679 Wihega Rd, Arbor Vitae, WI, 545688802.
What is Nicole M Hagen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nicole M Hagen's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Nicole M Hagen receive its 1851472930 assignment from the Centers for Medicare & Medicaid Services?
The Nicole M Hagen was assigned its 1851472930 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the details pertaining to Nicole M Hagen last refreshed?
The information related to the Nicole M Hagen, including its address, specialty, and other relevant details, was last updated on 2014-03-13.