Individual
JACQUELYN M. SEIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2730 N ROEMER RD, APPLETON, WI 54911-8628
(920) 749-5859
Mailing address
2730 N ROEMER RD, APPLETON, WI 54911-8628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5263
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5263-154
WI DEPARTMENT OF SAFETY & PROFESSIONAL SERVICES
WI
Enumeration date
06/28/2021
Last updated
11/17/2022
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