Individual
MS. GABRIELLA C. BUCHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10303 N PORT WASHINGTON RD, SUITE 203, MEQUON, WI 53092-5760
(262) 241-5955
(262) 241-5926
Mailing address
1845 W WAYSIDE DR, GLENDALE, WI 53209-2186
(414) 540-1528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2923-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235Z00000X
SPEECH PATHOLOGIST
WI
Enumeration date
07/02/2007
Last updated
07/08/2007
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