Individual
PAIGE DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2550 UNIVERSITY AVE APT 314, MADISON, WI 53705-3805
(718) 564-0057
Mailing address
2550 UNIVERSITY AVE APT 314, MADISON, WI 53705-3805
(718) 564-0057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5360-154
WI
Other
Enumeration date
09/02/2021
Last updated
02/01/2023
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