Individual
EMMA S VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2021 S ALVERNO RD, MANITOWOC, WI 54220-9208
(920) 689-4100
Mailing address
2021 S ALVERNO RD, MANITOWOC, WI 54220-9208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4713-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14335550
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
—
Enumeration date
02/25/2020
Last updated
02/25/2020
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