Individual
MRS. AMY M. KOHLSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-7574
Mailing address
519 MARK DR, VERONA, WI 53593-1022
(608) 848-9416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2227-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42787600
—
WI
Enumeration date
04/02/2007
Last updated
09/20/2022
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