Provider Demographics
NPI:1972511228
Name:ARVEDSON, JOAN C (PHD, MS)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:C
Last Name:ARVEDSON
Suffix:
Gender:F
Credentials:PHD, MS
Other - Prefix:MS
Other - First Name:JOAN
Other - Middle Name:C
Other - Last Name:SWIGGUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, MS
Mailing Address - Street 1:10000 W INNOVATION DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4837
Mailing Address - Country:US
Mailing Address - Phone:414-456-5006
Mailing Address - Fax:414-456-6259
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3518
Practice Address - Country:US
Practice Address - Phone:414-805-3666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2343231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist