Organization
TOSA SPEECH LANGUAGE PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JORDAN BECK MS, CCC-SLP (OWNER)
(414) 807-7512
Entity
Organization
Contact information
Practice address
1354 N 65TH ST, WAUWATOSA, WI 53213-2972
(414) 807-7512
Mailing address
1354 N 65TH ST, WAUWATOSA, WI 53213-2972
(414) 807-7512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3132-154
WI
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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