Provider Demographics
NPI:1760665780
Name:RENTSCHLER, FREDERICK W (MS CCC/SP)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:W
Last Name:RENTSCHLER
Suffix:
Gender:M
Credentials:MS CCC/SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 WASHINGTON PIKE
Mailing Address - Street 2:FRANKLIN PRIMARY SCHOOL
Mailing Address - City:WELLSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26070-2225
Mailing Address - Country:US
Mailing Address - Phone:304-737-1760
Mailing Address - Fax:304-394-5342
Practice Address - Street 1:1305 WASHINGTON PIKE
Practice Address - Street 2:FRANKLIN PRIMARY SCHOOL
Practice Address - City:WELLSBURG
Practice Address - State:WV
Practice Address - Zip Code:26070-2225
Practice Address - Country:US
Practice Address - Phone:304-737-1760
Practice Address - Fax:304-394-5342
Is Sole Proprietor?:No
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV00094102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist