Individual
MS. MARY FRANK RIORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
321 RIVERSIDE DRIVE, PEWAUKEE, WI 53072-6214
(262) 691-2300
(262) 691-2184
Mailing address
321 RIVERSIDE DR, PEWAUKEE, WI 53072-4612
(262) 691-2300
(262) 691-2184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
298-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42708000
—
WI
Enumeration date
08/28/2008
Last updated
08/28/2008
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