Organization
FULL SPECTRUM SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY KRAUS SLP (SPEECH/LANGUAGE PATHOLOGIST)
(608) 320-9896
Entity
Organization
Contact information
Practice address
6612 BOULDER LN, MIDDLETON, WI 53562-2807
(608) 320-9896
Mailing address
6612 BOULDER LN, MIDDLETON, WI 53562-2807
(608) 320-9896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14480803
CAQH
IL
Enumeration date
08/23/2019
Last updated
10/10/2023
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