Individual
MRS. ERIN LEIGH HIETPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1550 MIDWAY PL, MENASHA, WI 54952-1165
(920) 727-8140
Mailing address
624 W MCKINLEY AVE, LITTLE CHUTE, WI 54140-1525
(920) 788-5597
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2696-154
WI
Other
Enumeration date
02/22/2012
Last updated
02/27/2012
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