Worrell, Deirdre Ann

Worrell, Deirdre Ann is an sole proprietor health care provider with primary practice located at 1516 North Ridge Dr , Hudson WI 54016-1879. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Worrell, Deirdre Ann can be contacted via phone (715) 386-1760.

Contact Information

Primary practice address
1516 North Ridge Dr Hudson WI 54016-1879
Phone: (715) 386-1760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 454-156 Wisconsin
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 938-154 Wisconsin

Profile Details

NPI number 1255325205
LBN Legal business name Worrell, Deirdre Ann
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated Jan 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255325205 NPPES
Wisconsin MEDICAID 41149300
Wisconsin MEDICAID 42567800

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