Individual
DANIELLE B WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6697 LOCHSIDE LN, SUN PRAIRIE, WI 53590-9150
(608) 225-1388
(608) 834-0734
Mailing address
6697 LOCHSIDE LN, SUN PRAIRIE, WI 53590-9150
(608) 225-1388
(608) 834-0734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42784600
—
WI
Enumeration date
11/28/2006
Last updated
07/09/2007
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