Individual
NANCY BUCKLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
923 PERRY ST, CHIPPEWA FALLS, WI 54729-1647
(715) 723-7110
Mailing address
923 PERRY ST, CHIPPEWA FALLS, WI 54729-1647
(715) 723-7110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
978-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01099085
ASHA IDENTIFICATION
WI
05
—
42712900
—
WI
01
—
978-154
SPEECH LANGUAGE PATHOLOGY
WI
Enumeration date
02/12/2007
Last updated
07/09/2007
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