Individual
MS. CAITLIN LINDSAY EBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-2700
Mailing address
1336 SUMAC CT, PORT WASHINGTON, WI 53074-2434
(262) 329-2735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3122154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42596000
—
WI
Enumeration date
08/12/2008
Last updated
08/14/2024
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