Individual
MRS. KATHLEEN SUE TUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-LSP
Contact information
Practice address
2000 W BLUEMOUND RD, WAUKESHA, WI 53186-2787
(262) 506-1116
Mailing address
PO BOX 255, PALMYRA, WI 53156-0255
(262) 495-4748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1570-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41203900
—
WI
Enumeration date
03/15/2007
Last updated
07/08/2007
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