Angeleen Dodge in Fond Du Lac - Speech-language Pathologist
Angeleen Dodge - NPI 1104041748
Angeleen Dodge is a Speech-language Pathologist in Fond Du Lac, Wisconsin. Angeleen Dodge practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Angeleen Dodge is 1104041748. The last update date is 2007-07-08.
Angeleen Dodge's current location address is 500 N Park Ave, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209298858 and fax number 9209233038. The mailing address for Angeleen Dodge is 500 N Park Ave, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angeleen Dodge |
|---|---|
| Address | 500 N Park Ave, Fond Du Lac, Wisconsin |
| Phone Number | 9209298858 |
| Fax Number | 9209233038 |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1104041748 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 N Park Ave |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549351943 |
| Phone Number | 9209298858 |
| Fax Number | 9209233038 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 1962-154 |
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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 |
|---|---|---|---|
| 42773400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Angeleen Dodge?
The Angeleen Dodge has been issued the NPI (National Provider Identifier) 1104041748 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Angeleen Dodge's facilities are situated?
The facilities of Angeleen Dodge are physically located at the following address: 500 N Park Ave, Fond Du Lac, WI, 549351943.
What is Angeleen Dodge's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Angeleen Dodge's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104041748 to Angeleen Dodge?
The Centers for Medicare & Medicaid Services assigned the 1104041748 to Angeleen Dodge on 2007-04-17.
When was the information pertaining to Angeleen Dodge most recently updated or revised?
The details related to Angeleen Dodge, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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