Kysa Lyndell Deitz, CCC-SLP | |
1625 E Main St, Clintonville, WI 54929-8407 | |
(715) 823-3135 | |
Not Available |
Full Name | Kysa Lyndell Deitz |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1625 E Main St, Clintonville, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720646151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Kysa Lyndell Deitz, CCC-SLP E2606 1151st Ave, Boyceville, WI 54725-9473 Ph: (715) 931-8479 | Kysa Lyndell Deitz, CCC-SLP 1625 E Main St, Clintonville, WI 54929-8407 Ph: (715) 823-3135 |
Keri Schuette, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1625 E Main St, Clintonville, WI 54929 Phone: 715-823-3135 | |
Sydney Otis, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 70 W Green Tree Rd, Clintonville, WI 54929 Phone: 715-823-2194 |