DR. THOMAS SPEECH


Address: 601 Kessler Dr., Neenah, WI 54956-4113
Phone: 9204190680

DR. THOMAS SPEECH (NPI# 1710501168) 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) 1710501168
Entity Type Individual
Full Name DR. THOMAS SPEECH
Credential PHD
Practice Address 601 Kessler Dr.
Neenah
WI 54956-4113
Practice Telephone 9204190680
Practice Fax Number 9202141128
Mailing Telephone 9204190680
Enumeration Date 2020-06-02
Last Update Date 2020-06-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1587-57 WI Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
1587-57 WI Behavioral Health & Social Service Providers

Office Location

Street Address 601 KESSLER DR.
City NEENAH
State WI
Zip Code 54956-4113

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1508417916 Cassandra D Pasquariello Psychologist Department of Athletics, 1440 Monroe Street, Madison, WI 53711 2019-09-26
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Competitor

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City NEENAH
Zip Code 54956

Improve Information

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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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