Organization
HUDSON HEARING & SPEECH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE ANNE DREVNICK MS, F/AAA (PRESIDENT)
(715) 531-6710
Entity
Organization
Contact information
Practice address
401 STAGELINE RD, SUITE 6, HUDSON, WI 54016-7897
(715) 531-6710
(715) 531-6711
Mailing address
401 STAGELINE RD, SUITE 6, HUDSON, WI 54016-7897
(715) 531-6710
(715) 531-6711
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
173-156
WI
235Z00000X
Speech-Language Pathologist
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41121100
—
WI
Enumeration date
07/07/2005
Last updated
06/20/2014
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