Individual
MRS. KRISTEN LEIGH JANES MERTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5534
(920) 361-5910
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5534
(920) 361-5910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2122-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42794000
—
WI
Enumeration date
05/02/2008
Last updated
05/02/2008
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