Individual
SUE MERRY LANDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
5778 CHAPIN ST, FLORENCE, WI 54121-9443
(715) 528-4988
Mailing address
17923 ROCK DAM RD, ALVIN, WI 54542-9345
(725) 545-3344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2042-154
WI
235Z00000X
Speech-Language Pathologist
SA 9812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42-704-800
—
WI
Enumeration date
10/09/2009
Last updated
10/09/2009
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