Individual
CATHERINE MARIE PAYAN JASPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
1249 W LIEBAU RD, MEQUON, WI 53092-3396
(262) 243-4161
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
121375
TX
235Z00000X
Speech-Language Pathologist
Primary
6729
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655730-01
—
TX
05
—
100289173
—
WI
Enumeration date
09/27/2023
Last updated
09/23/2024
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