Individual
MRS. LAURIE ELLEN BERENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
1755 N BARKER ROAD, CARE - AGE OF BROOKFIELD, BROOKFIELD, WI 53045-1835
(262) 821-3939
(262) 821-3944
Mailing address
1755 N BARKER ROAD, CARE - AGE OF BROOKFIELD, BROOKFIELD, WI 53045-1835
(262) 821-3939
(262) 821-3944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1159-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42728400
—
WI
Enumeration date
09/24/2008
Last updated
09/24/2008
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