Individual
ELIZABETH PETTITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2112
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(262) 719-7323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4365-154
WI
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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