Provider Demographics
NPI:1225297526
Name:NAGEL, CARA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:
Last Name:NAGEL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 US HIGHWAY 12 E
Mailing Address - Street 2:THERAPY DEPT
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-5569
Mailing Address - Country:US
Mailing Address - Phone:715-232-2661
Mailing Address - Fax:
Practice Address - Street 1:3001 US HIGHWAY 12 E
Practice Address - Street 2:THERAPY DEPT
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-5569
Practice Address - Country:US
Practice Address - Phone:715-232-2661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1827-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist