Dorian L Glaze in Rice Lake - Speech-language Pathologist
Dorian L Glaze - NPI 1912170606
Dorian L Glaze is a Speech-language Pathologist in Rice Lake, Wisconsin. Dorian L Glaze practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Dorian L Glaze is 1912170606. The last update date is 2008-04-02.
Dorian L Glaze's current location address is 1100 N Main St, Rice Lake, Wisconsin. You can contact this provider via phone number 7152366408 and fax number 7152366588. The mailing address for Dorian L Glaze is 1100 N Main St, Rice Lake, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorian L Glaze |
|---|---|
| Address | 1100 N Main St, Rice Lake, Wisconsin |
| Phone Number | 7152366408 |
| Fax Number | 7152366588 |
| Sole Proprietor | N |
| Credentials | CCC-SLP |
NPI Number Detail
| NPI Number | 1912170606 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 1100 N Main St |
|---|---|
| City | Rice Lake |
| State | Wisconsin (WI) |
| Post Code | 548681238 |
| Phone Number | 7152366408 |
| Fax Number | 7152366588 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2379-154 |
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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 |
|---|---|---|---|
| 42797400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dorian L Glaze by the Centers for Medicare & Medicaid Services?
The Dorian L Glaze has been issued the NPI (National Provider Identifier) 1912170606 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Dorian L Glaze is physically located?
The Dorian L Glaze is physically situated at the following address: 1100 N Main St, Rice Lake, WI, 548681238.
What is the Dorian L Glaze's area of specialization and corresponding taxonomy classification?
The Dorian L Glaze's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912170606 to Dorian L Glaze?
The Centers for Medicare & Medicaid Services originally issued the 1912170606 to Dorian L Glaze on 2008-04-02.
As of what date was the information regarding Dorian L Glaze, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dorian L Glaze, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-02.