Individual
LINDA VANDE ZANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
244 N MACY ST, FOND DU LAC, WI 54935-3362
(920) 926-0050
Mailing address
N8250 SUNSET DR, FOND DU LAC, WI 54935-9517
(920) 921-7891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2186-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42574900
—
WI
Enumeration date
05/14/2008
Last updated
05/14/2008
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