Individual
BETH SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2607-1554
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42568300
—
WI
Enumeration date
08/15/2008
Last updated
08/15/2008
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