Individual
ASHLEY C BRETERNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
8400 SHERIDAN RD, KENOSHA, WI 53143-6327
(262) 658-4141
Mailing address
12119 43RD AVE, PLEASANT PRAIRIE, WI 53158-3925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4699-154
WI
Other
Enumeration date
08/22/2018
Last updated
12/19/2018
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