Individual
MS. ANDREA JO HERMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2990 CAHILL MAIN, FITCHBURG, WI 53711-7130
(608) 204-6083
Mailing address
5305 MAHER AVE, MADISON, WI 53716-3225
(608) 444-5104
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3353154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3353-154
DEPARTMENT OF REGULATIONS AND LICENSURE
WI
Enumeration date
05/11/2010
Last updated
05/11/2010
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