Dietrich, Cecelia Ann
Dietrich, Cecelia Ann is an individual health care provider with primary practice located at 333 Pine Ridge Blvd , Wausau WI 54401-4120. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dietrich, Cecelia Ann can be contacted via phone (715) 847-2826.Contact Information
Primary practice address
333 Pine Ridge Blvd
Wausau WI 54401-4120
Phone: (715) 847-2826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 630-154 | Wisconsin |
Profile Details
| NPI number | 1497811319 |
|---|---|
| LBN Legal business name | Dietrich, Cecelia Ann |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497811319 | NPPES |
| Wisconsin | MEDICAID | 42702100 |
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