Individual
MICHELE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3420 EVERGREEN CT, PLOVER, WI 54467-3722
(715) 310-9545
(844) 879-3411
Mailing address
3420 EVERGREEN CT, PLOVER, WI 54467-3722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1532-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497009997
—
WI
Enumeration date
11/05/2012
Last updated
09/13/2017
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