Individual
KATHRYN ANNE BRUFLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
321 RIVERSIDE DR, PEWAUKEE, WI 53072-4612
(262) 691-2300
(262) 691-6256
Mailing address
W330N6264 HASSLINGER DR, NASHOTAH, WI 53058-9732
(262) 691-6262
(262) 691-6256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
889-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42722200
—
WI
Enumeration date
05/23/2007
Last updated
07/08/2007
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