Tracey Jane Wise in Rhinelander - Speech-language Pathologist

Tracey Jane Wise - NPI 1912170564

Tracey Jane Wise is a Speech-language Pathologist in Rhinelander, Wisconsin. Tracey Jane Wise practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tracey Jane Wise is 1912170564. The last update date is 2008-04-03.

Tracey Jane Wise's current location address is 6608 Fallen Wood Ln, Rhinelander, Wisconsin. You can contact this provider via phone number 7152827566. The mailing address for Tracey Jane Wise is 6608 Fallen Wood Ln, Rhinelander, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracey Jane Wise
Address 6608 Fallen Wood Ln, Rhinelander, Wisconsin
Phone Number 7152827566
Fax Number
Sole Proprietor N
Credentials MS CCC

NPI Number Detail

NPI Number 1912170564
Provider Enumeration Date 2008-04-03
Last Updated Date 2008-04-03

Provider Mailing Address Detail

Address 6608 Fallen Wood Ln
City Rhinelander
State Wisconsin (WI)
Post Code 545018191
Phone Number 7152827566
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 503-154
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
426259000 WI --

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FAQs about Tracey Jane Wise

What is the Tracey Jane Wise's unique identification number?

The Tracey Jane Wise has been assigned the NPI (National Provider Identifier) Number 1912170564 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Tracey Jane Wise?

The Tracey Jane Wise is physically situated at 6608 Fallen Wood Ln, in the city of Rhinelander, state of WI, with the postal code 545018191.

What is Tracey Jane Wise's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Tracey Jane Wise'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 originally issue the 1912170564 to Tracey Jane Wise?

The Centers for Medicare & Medicaid Services originally issued the 1912170564 to Tracey Jane Wise on 2008-04-03.

As of what date was the information regarding Tracey Jane Wise, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tracey Jane Wise, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-03.

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