Individual
LAURIE ANN MATZDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
6630 UNIVERSITY AVE, MIDDLETON, WI 53562-3036
(608) 263-8410
(608) 261-5640
Mailing address
6630 UNIVERSITY AVE, MIDDLETON, WI 53562-3036
(608) 263-8410
(608) 261-5640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1166-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1166-154
SPEECH
WI
Enumeration date
07/21/2006
Last updated
04/09/2021
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