Individual
MRS. DEIRDRE ANN WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1516 NORTH RIDGE DR, HUDSON, WI 54016-1879
(715) 386-1760
Mailing address
1516 NORTH RIDGE DR, HUDSON, WI 54016-1879
(715) 386-1760
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
454-156
WI
235Z00000X
Speech-Language Pathologist
938-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41149300
—
WI
05
—
42567800
—
WI
Enumeration date
09/06/2005
Last updated
01/03/2013
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