Basic Information
| Provider Information | |||||||||
| NPI: | 1740217306 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GADBOIS | ||||||||
| FirstName: | TAMMY | ||||||||
| MiddleName: | CATHERINE | ||||||||
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| Credential: | M.N/H.S., CCC-A/SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 E VETERANS ST-126 | ||||||||
| Address2: | |||||||||
| City: | TOMAH | ||||||||
| State: | WI | ||||||||
| PostalCode: | 546603105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6083781291 | ||||||||
| FaxNumber: | 6083721294 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 E VETERANS ST-126 | ||||||||
| Address2: | |||||||||
| City: | TOMAH | ||||||||
| State: | WI | ||||||||
| PostalCode: | 546603105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6083781291 | ||||||||
| FaxNumber: | 6083721294 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 231H00000X | 256-156 | WI | X | Speech, Language and Hearing Service Providers | Audiologist | 235Z00000X | 2137-154 | WI | X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.