Individual
ELISA SCHOEBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
407 N. 8TH ST., MOUNT HOREB, WI 53572
(608) 437-5511
Mailing address
407 N. 8TH ST., MOUNT HOREB, WI 53572
(608) 437-5511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4286 - 154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100057347
—
WI
Enumeration date
06/08/2016
Last updated
11/30/2017
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