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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255325205 | NPPES |
| Wisconsin | MEDICAID | 41149300 | |
| Wisconsin | MEDICAID | 42567800 |
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