Individual
KATIE VANASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 LINEVILLE RD, GREEN BAY, WI 54313-7151
(920) 662-7000
Mailing address
2706 LINEVILLE RD, GREEN BAY, WI 54313-7151
(920) 662-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12118081
WI
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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