Individual
KIMBERLY MERTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CCC
Contact information
Practice address
121 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-9220
Mailing address
N41W33326 WOODSVIEW DR, NASHOTAH, WI 53058-9773
(608) 279-9811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3163-154
WI
Other
Enumeration date
01/27/2009
Last updated
07/28/2021
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