Individual
JESSICA M. FRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
1969 W HART RD, BELOIT HEALTH SYSTEM INC/ BELOIT MEMORIAL HOSPITAL, BELOIT, WI 53511-2230
(608) 364-5695
(608) 363-5790
Mailing address
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7395
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146009773
IL
235Z00000X
Speech-Language Pathologist
Primary
2749-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42576600
—
WI
Enumeration date
02/14/2006
Last updated
02/29/2016
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