Organization
KIDZSPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN CERRONI (OWNER)
(414) 507-9181
Entity
Organization
Contact information
Practice address
1909 TREE LINE CT, WAUKESHA, WI 53188-2655
(414) 507-9181
Mailing address
W238N1690 ROCKWOOD DR, SUITE 500, WAUKESHA, WI 53188-1151
(414) 507-9181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1083-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023267135
INDIVIDUAL NPI NUMBER
—
Enumeration date
06/02/2014
Last updated
06/02/2014
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