=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457979148
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WINKLER WORDS AND HERDS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2020
-----------------------------------------------------
Last Update Date | 07/08/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1169 N RD
-----------------------------------------------------
City | CORNING
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66417-8446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-294-1582
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1169 N RD
-----------------------------------------------------
City | CORNING
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66417-8446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-294-1582
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SLP
-----------------------------------------------------
Name | VERONICA WINKLER
-----------------------------------------------------
Credential | M.S., CCC-SLP
-----------------------------------------------------
Telephone | 785-294-1582
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------