Individual
BRENDA J. VICEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
14 ELLIS POTTER CT, SUITE 200, MADISON, WI 53711-2478
(608) 204-6242
(608) 204-6249
Mailing address
204 VISTA DR, COTTAGE GROVE, WI 53527-9370
(608) 839-5575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1421-154
WI
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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