MICHELLE HERUM


Address: 377 W River Woods Pkwy, Glendale, WI 53212-1088
Phone: 2629237101

MICHELLE HERUM (NPI# 1114589538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114589538
Entity Type Individual
Full Name MICHELLE HERUM
Credential MS, CCC-SLP
Practice Address 377 W River Woods Pkwy
Glendale
WI 53212-1088
Mailing Address 4859 N Idlewild Ave
Whitefish Bay
WI 53217-5958
Practice Telephone 2629237101
Enumeration Date 2019-07-05
Last Update Date 2019-07-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 4519154 WI Speech, Language and Hearing Service Providers

Office Location

Street Address 377 W RIVER WOODS PKWY
City GLENDALE
State WI
Zip Code 53212-1088

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255389581 Health Dynamics, LLC Physician Assistant 377 W River Woods Pkwy, Suite 225, Glendale, WI 53212-1088 2006-05-05
1790248326 Kyle Kirst Occupational Therapist 377 W River Woods Pkwy, Glendale, WI 53212-1088 2019-04-10
1306022116 Harry A. Easom, M.d., S.c. Ophthalmology 377 W River Woods Pkwy, Suite 115, Glendale, WI 53212-1088 2008-01-11
1760528640 Karen S. Shimshak Md Sc Ophthalmology 377 W River Woods Pkwy, #115, Glendale, WI 53212-1088 2007-01-29
1932136652 Thomas A Reminga Emergency Medicine 377 W River Woods Pkwy, Suite 377, Glendale, WI 53212-1088 2006-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1467095703 Ifrah Hameed Psychologist 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 2019-10-18
1386293330 Rachel Mae Nelson Bagha Student in an Organized Health Care Education/Training Program 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 2019-09-11
1164085205 Mary Sue Daase Bowen Counselor 2821 N 4th Street, Milwaukee, WI 53212 2019-04-15
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1710447701 Scott William Stauder Student in an Organized Health Care Education/Training Program 1121 E. North Ave., Milwaukee, WI 53212 2019-03-25
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1093285140 Megan Marie Volp Advanced Practice Midwife 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 2018-12-03
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225638844 Nicci Michele Grayson Speech-Language Pathologist 2653 E Glenoaks Blvd, Glendale, CA 91206-3108 2020-11-01
1629689914 Megan Tornabene Speech-Language Pathologist 5312 W Mountain View Rd, Glendale, AZ 85302-2202 2020-08-11
1952925356 Speech Guy, LLC Speech-Language Pathologist 3526 Brookhill St, Glendale, CA 91214-1123 2020-06-01
1609403393 Nest Speech and Language Therapy Speech-Language Pathologist 625 Hawthorne St, Glendale, CA 91204-1001 2020-03-24
1376199364 Eileena Gao Speech-Language Pathologist 12995 N Marshall Ranch Dr, Glendale, AZ 85304-1966 2019-08-14
1821643552 Hailee Rose Rodgers Speech-Language Pathologist 6330 W Greenway Rd, Glendale, AZ 85306-3204 2019-08-08
1225682818 Theracare, Multi Specialty Group, Inc. Speech-Language Pathologist 221 E Glenoaks Blvd Ste 150, Glendale, CA 91207-2089 2019-07-31
1538713391 Kennedy Cook Speech-Language Pathologist 5304 W Crocus Dr, Glendale, AZ 85306-4318 2019-07-30
1386130474 Paydin Barrett Speech-Language Pathologist 5540 W Glendale Ave Ste A101, Glendale, AZ 85301-2579 2018-07-02
1770098055 Elizabeth Swanson Gue Speech-Language Pathologist 6616 W Hill Ln, Glendale, AZ 85310-5711 2017-12-07
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Competitor

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City GLENDALE
Zip Code 53212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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