Individual
MS. KRISTIN LEIGH SCHUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
THE PARENTING PLACE, 1500 GREEN BAY STREET, LA CROSSE, WI 54601-6455
(608) 784-8125
(608) 796-0098
Mailing address
THE PARENTING PLACE, 1500 GREEN BAY STREET, LA CROSSE, WI 54601-6455
(608) 784-8125
(608) 796-0098
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2211-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42787000
—
WI
Enumeration date
01/19/2007
Last updated
03/21/2019
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