Individual
MS. AMY MARIE MAKOVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10243 W NATIONAL AVE, WEST ALLIS, WI 53227-2028
(414) 604-7206
(414) 604-7200
Mailing address
2580 N OAKLAND AVE APT 307, MILWAUKEE, WI 53211-3946
(414) 403-1525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2545-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42560500
—
WI
Enumeration date
05/23/2007
Last updated
07/09/2007
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