Individual
MRS. KATHLEEN MARY HAASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-A FAAA
Contact information
Practice address
1442 N 31ST ST, SHEBOYGAN, WI 53081
(920) 458-3277
(920) 458-5255
Mailing address
1442 N 31ST ST, SHEBOYGAN, WI 53081
(920) 458-3277
(920) 458-5255
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
62156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41112000
—
WI
Enumeration date
05/23/2005
Last updated
07/08/2007
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