Individual
MICHELLE HERUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
377 W RIVER WOODS PKWY, GLENDALE, WI 53212-1088
(262) 923-7101
Mailing address
4859 N IDLEWILD AVE, WHITEFISH BAY, WI 53217-5958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4519154
WI
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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