| NPI Details | |
|---|---|
| NPI | 1487855474 |
| Gender | Female |
| Enumeration Date | 05/29/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 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 |
| Remove 1487855474 NPI Number | |
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.
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