Individual
MS. REGINA LEDERLE BEHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1633 W BENDER RD, GLENDALE, WI 53209-3801
(262) 241-6846
(414) 228-6320
Mailing address
5416 N SHASTA DR, GLENDALE, WI 53209-4923
(414) 578-2610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2299-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42793700
—
WI
Enumeration date
10/29/2007
Last updated
10/29/2007
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