MEDICARE: UNITY SPEECH THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1225640410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY SPEECH THERAPY

Provider Business Mailing Address
First Line	:	852 E PRAIRIE LN APT 2
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-8606
Country	:	US
Telephone Number	:	414-202-1191
Fax Number	:

Provider Business Practice Location Address
First Line	:	852 E PRAIRIE LN APT 2
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-8606
Country	:	US
Telephone Number	:	414-202-1191
Fax Number	:

Authorized Official
Title or Position	:	CEO AND SPEECH LANGUAGE PATHOLOGIST
Name	:	MISS KATHERINE GRAVES FRENCH
Credential	:	CCC-SLP
Telephone Number	:	414-202-1191

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	08/19/2020

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Directions to “UNITY SPEECH THERAPY ” Practice Location

Language	Start Address	Practice Location

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