Individual
MICHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
901 W WASHINGTON ST, NEW LONDON, WI 54961-1653
(920) 982-8530
Mailing address
524 E WILSON AVE, APPLETON, WI 54915-2028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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