Provider Demographics
NPI:1417099730
Name:TRI-COUNTY COMMUNICATION SERVICES INC
Entity Type:Organization
Organization Name:TRI-COUNTY COMMUNICATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AUDIOLOGIST SPEECH PATHOL
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFLEUR
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCCA MACCCSLP
Authorized Official - Phone:715-528-4350
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:WI
Mailing Address - Zip Code:54121-0033
Mailing Address - Country:US
Mailing Address - Phone:715-528-4350
Mailing Address - Fax:715-528-4348
Practice Address - Street 1:609 CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:WI
Practice Address - Zip Code:54121-0033
Practice Address - Country:US
Practice Address - Phone:715-528-4350
Practice Address - Fax:715-528-4348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1218154235Z00000X
WI221156237600000X
MI1601000114237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
610200700OtherUS DEPT OF LABOR