Individual
MS. ANGELA MARIE HIGGINS KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
705 E TIMBER DR, RHINELANDER, WI 54501-2859
(715) 365-3949
Mailing address
10339 N PINE SQUARE RD, TOMAHAWK, WI 54487-8829
(715) 360-7482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1626-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1626-154
WI STATE PROFESSIONAL SLP LICENSE
WI
05
—
42802700
—
WI
Enumeration date
04/22/2008
Last updated
01/26/2022
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