Individual
MRS. CODY MARIE BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
13755 W FIELDPOINTE DR, NEW BERLIN, WI 53151-3979
(262) 796-3660
Mailing address
110 APOLLO CT, MUKWONAGO, WI 53149-1701
(262) 443-0062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3136-154
WI
Other
Enumeration date
05/06/2010
Last updated
08/02/2016
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