| |
401 E Lake St, Silver Lake, WI 53170-1729 | |
(262) 716-9557 | |
(262) 721-0733 |
Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 401 E Lake St, Silver Lake, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639332562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 3058-154 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Po Box 536, Silver Lake, WI 53170-0536 Ph: (262) 716-9557 | 401 E Lake St, Silver Lake, WI 53170-1729 Ph: (262) 716-9557 |
Kendra Maksen, M.S., CCC/SLP-L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 114 W Elm St, Silver Lake, WI 53170 Phone: 847-401-3479 |