Basic Information
| Provider Information | |||||||||
| NPI: | 1437669645 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RENTSCHLER | ||||||||
| FirstName: | ADDISON | ||||||||
| MiddleName: | THOMPSON | ||||||||
| NamePrefix: | |||||||||
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| Credential: | M.S., CCC-SLP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | THOMPSON | ||||||||
| OtherFirstName: | JANET | ||||||||
| OtherMiddleName: | ADDISON | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | M.S., CCC-SLP | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 315 6TH ST S | ||||||||
| Address2: | |||||||||
| City: | ONEONTA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 351211828 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2052742244 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4778 OVERTON RD | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059570294 | ||||||||
| FaxNumber: | 2059570298 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2017 | ||||||||
| LastUpdateDate: | 11/14/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 4202 | AL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.