Individual
ANNA M GRESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,CCC-SLP
Contact information
Practice address
3541 PLOVER RD, WISCONSIN RAPIDS, WI 54494-2155
(715) 423-5423
(715) 423-1532
Mailing address
3541 PLOVER RD, WISCONSIN RAPIDS, WI 54494-2155
(715) 423-5423
(715) 423-1532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1071-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42781000
—
WI
Enumeration date
03/21/2007
Last updated
07/08/2007
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