Individual
KRISTIN ARLA BAUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CF-SLP
Contact information
Practice address
3130 N RANKIN ST, APPLETON, WI 54911-1423
(920) 205-7356
Mailing address
1800 APPLETON RD, MENASHA, WI 54952-3727
(920) 968-6225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3130-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3130-154
WISCONSIN SPEECH LANGUAGE PATHOLOGY LICENSE
WI
05
—
42594800
—
WI
Enumeration date
09/22/2008
Last updated
09/22/2008
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