Tim Edward Moldenhauer, MS-CCC-SLP

Speech-Language Pathologist · Wisconsin Rapids, WI

Individual Active NPI

NPI number 1457564403

Practice location

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone
(715) 424-8500
Fax
(715) 424-8502

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NPI record

NPI
1457564403
Entity type
Individual (Type 1)
Enumeration date
May 7, 2007
Last updated
March 13, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 607-154 WI

Mailing address

PO Box 8080
410 Dewey Street
Wisconsin Rapids, WI 54495-8080
Phone
(715) 424-8500
Fax
(715) 424-8502

About Tim Moldenhauer

Tim Edward Moldenhauer, MS-CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 410 Dewey St, Wisconsin Rapids, WI 54494-4715. The NPI number 1457564403 was assigned on May 7, 2007 and the record was last updated on March 13, 2013.

Tim Moldenhauer lists a license in the registry: #607-154 (WI) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tim Edward Moldenhauer, MS-CCC-SLP?

The NPI number is 1457564403.

What is the phone number of Tim Moldenhauer?

The phone number listed for the practice location is (715) 424-8500.

Where is Tim Moldenhauer located?

410 Dewey St, Wisconsin Rapids, WI 54494-4715.

What is the taxonomy code for Tim Moldenhauer?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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