Individual
HAILEY LICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11740N N PORT WASHINGTON RD, MEQUON, WI 53092-3420
(262) 241-8030
Mailing address
W63N222 FAIRFIELD ST, CEDARBURG, WI 53012-2700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7057154
WI
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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