Eliza Evangeline Decker, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Arpin, WI
NPI 1740436740 · NPPES record last updated Sep 24, 2008
Key facts
- NPI
- 1740436740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3071-154 (WI)
- Practice address
- 8014 Bethel Rd
Arpin, WI 54410-9558 - Phone
- (715) 652-2549
- Fax
- (715) 652-2171
- NPI assigned
- Aug 11, 2008
- Sex
- Female
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3071-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3071-154 | WI | Yes |
Addresses
Primary practice location
8014 Bethel Rd
Arpin, WI 54410-9558
Mailing address
8014 Bethel Rd
Arpin, WI 54410-9558
Phone (715) 652-2549
Other providers in Arpin, WI
- Bethel Center, LLC
- Helena Anne Collins-Price
- Amy J Donovan
- Patty Gapen
- Sarah Holbrook
- Cynthia Kuka
- Sarina Kyle
All providers in Arpin, 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 Sep 24, 2008. 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.