Stacy A Latus M.S. CCC-SLP

NPI 1487855474 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1487855474
Gender Female
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10243 W NATIONAL AVE
WEST ALLIS WI, 53227-2028, US
Phone (414) 604-7208
Fax (414) 604-7200
Business Location
1601 AUBURN CT
WAUKESHA WI, 53189-8005, US
Phone (414) 604-7208
Fax (414) 604-7200
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 1966-154
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According to our database, Stacy A Latus M.S. CCC-SLP NPI is 1487855474, taxonomy code is 235Z00000X and license number is 1966-154, license state is located at Wisconsin. Stacy A Latus M.S. CCC-SLP physically located at 10243 W National Ave, West Allis WI, 53227-2028. NPI Number Stacy A Latus M.S. CCC-SLP has the Individual type.

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1487855474 NPI number is provided on an as is basis without warranty of any kind. 1487855474 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy A Latus M.S. CCC-SLP are for informational purposes only.