Individual
KRISTINE GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
500 INTERCHANGE N, LAKE GENEVA, WI 53147-8922
(262) 249-5860
(262) 249-5870
Mailing address
W241S10155 MEADOW CIR, BIG BEND, WI 53103-9569
(262) 662-3354
(262) 662-3354
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1615154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42761100
—
WI
Enumeration date
05/04/2007
Last updated
07/08/2007
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