Individual
TAMARA SUE KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, BCBA
Contact information
Practice address
388 WOODSIDE DR, CEDARBURG, WI 53012-9553
(262) 388-0398
(262) 922-4444
Mailing address
388 WOODSIDE DR, CEDARBURG, WI 53012-9553
(262) 388-0398
(262) 922-4444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12-140
WI
235Z00000X
Speech-Language Pathologist
562-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42707800
—
WI
Enumeration date
03/15/2012
Last updated
03/15/2012
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