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CECELIA ANN DIETRICH MS CCC-SLP NPI 1497811319


NPI Information

NPI: 1497811319
Provider Name: CECELIA ANN DIETRICH, MS, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
333 PINE RIDGE BLVD
WAUSAU, WI
ZIP 54401
Phone: (715) 847-2826
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Cecelia Ann Dietrich, MS, CCC-SLP is a speech language pathologist in Wausau, WI. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Cecelia Ann Dietrich, MS, CCC-SLP NPI is 1497811319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

333 PINE RIDGE BLVD
WAUSAU, WI
ZIP 54401-120
Phone: (715) 847-2826

The enumeration date for this NPI number is 12/28/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist630-154WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142702100MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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