Tim Edward Moldenhauer in Wisconsin Rapids - Speech-language Pathologist
Tim Edward Moldenhauer - NPI 1457564403
Tim Edward Moldenhauer is a Speech-language Pathologist in Wisconsin Rapids, Wisconsin. Tim Edward Moldenhauer practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tim Edward Moldenhauer is 1457564403. The last update date is 2013-03-13.
Tim Edward Moldenhauer's current location address is Po Box 8080, Wisconsin Rapids, Wisconsin. You can contact this provider via phone number 7154248500 and fax number 7154248502. The mailing address for Tim Edward Moldenhauer is Po Box 8080, Wisconsin Rapids, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim Edward Moldenhauer |
|---|---|
| Address | Po Box 8080, Wisconsin Rapids, Wisconsin |
| Phone Number | 7154248500 |
| Fax Number | 7154248502 |
| Sole Proprietor | N |
| Credentials | MS-CCC-SLP |
NPI Number Detail
| NPI Number | 1457564403 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2013-03-13 |
Provider Mailing Address Detail
| Address | Po Box 8080 |
|---|---|
| City | Wisconsin Rapids |
| State | Wisconsin (WI) |
| Post Code | 544958080 |
| Phone Number | 7154248500 |
| Fax Number | 7154248502 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 607-154 |
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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 |
|---|---|---|---|
| 42714700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tim Edward Moldenhauer by the Centers for Medicare & Medicaid Services?
The Tim Edward Moldenhauer has been issued the NPI (National Provider Identifier) 1457564403, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tim Edward Moldenhauer's facilities are situated?
The facilities of Tim Edward Moldenhauer are physically located at the following address: Po Box 8080, Wisconsin Rapids, WI, 544958080.
What is Tim Edward Moldenhauer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tim Edward Moldenhauer'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 Tim Edward Moldenhauer receive its 1457564403 assignment from the Centers for Medicare & Medicaid Services?
The Tim Edward Moldenhauer was assigned its 1457564403 on 2007-05-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tim Edward Moldenhauer most recently updated or revised?
The details related to Tim Edward Moldenhauer, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-13.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA