Individual
ANGELA D CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5717 BLACKSMITH LN, MADISON, WI 53716-2477
(608) 223-1727
Mailing address
5717 BLACKSMITH LN, MADISON, WI 53716-2477
(608) 223-1727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3626-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346517661
—
WI
Enumeration date
12/01/2011
Last updated
10/19/2014
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