Individual
MRS. TERESA LIN BRAUN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1317 W GRAND AVE, PORT WASHINGTON, WI 53074-2075
(262) 284-2261
Mailing address
1317 W GRAND AVE, PORT WASHINGTON, WI 53074-2075
(262) 284-2261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2098-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42562700
—
WI
Enumeration date
06/16/2006
Last updated
07/08/2007
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