Individual
LESLIE A SHOULDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 532-1560
(262) 532-1380
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 532-1560
(262) 532-1380
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2201001550
VA
231H00000X
Audiologist
Primary
692
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092318
—
WI
Enumeration date
04/22/2014
Last updated
04/19/2023
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