Organization
SPEECH THERAPY ASSOCIATES OF NORTHWEST WISCONSIN, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY L LUNDEEN MAT/CCC/SLP (OWNER)
(715) 859-6670
Entity
Organization
Contact information
Practice address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5561
(715) 532-5146
Mailing address
2523 14 3/4 AVE, RICE LAKE, WI 54868-8736
(715) 859-6670
(715) 859-6669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1112-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42551300
—
WI
Enumeration date
02/27/2006
Last updated
08/22/2020
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