William Peter Goulding, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Greendale, WI
NPI 1710102686 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710102686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1472-154 (WI)
- Practice address
- 5901 S 76TH St
Greendale, WI 53129-2234 - Phone
- (414) 421-8381
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1472-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1472-154 | WI | Yes |
Addresses
Primary practice location
5901 S 76TH St
Greendale, WI 53129-2234
Mailing address
5901 S 76TH St
Greendale, WI 53129-2234
Phone (414) 421-8381
Other providers in Greendale, WI
- Anil Kumar Garg
- Dorian Sue Geschke
- Ann Margaret Gieschen-Salazar
- Mariska Cornelia Goebel
- Kathleen Marie Gosenheimer
- Brian Goyette
- Stephen Gradinjan
- Greendale Chiropractic LLC
- Greendale Dental Associates, S.C.
- Greendale Medical Clinic, S.C.
All providers in Greendale, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.