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NPI Code Detail

MEDICARE: MRS. TERRY R FAITH M.S. CCC-SLP

MEDICARE: MRS. TERRY R FAITH M.S. CCC-SLP
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
1235Z00000XSpeech-Language Pathologist781-154WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922210772
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TERRY R FAITH M.S. CCC-SLP
Provider Business Mailing Address
First Line : 523 SAINT CLARE CT
Second Line :
City : MONROE
State : WI
Zip : 53566-1541
Country : US
Telephone Number : 608-325-4156
Fax Number :
Provider Business Practice Location Address
First Line : 516 26TH AVE
Second Line :
City : MONROE
State : WI
Zip : 53566-1531
Country : US
Telephone Number : 608-329-6600
Fax Number : 608-329-6594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. TERRY R FAITH M.S. CCC-SLP” Practice Location

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