Individual
ANDREA HALLFRISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3117 SHORE DR, MARINETTE, WI 54143-4293
(715) 732-5111
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041553
—
WI
Enumeration date
10/07/2014
Last updated
12/08/2023
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