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Contact Information

KATELYN R RUDOLPH, M.S CCC-SLP
1109 W CLAIREMONT AVE
EAU CLAIRE, WI54701
 Phone: 715-717-4338
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KATELYN R RUDOLPH · (Female)

NPI # 1477818201
Status Active
Credentials M.S CCC-SLP
Entity Individual
Enumeration date 07/09/2012
Last updated 12/28/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3556-154
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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