Individual
MS. CHARLENE G HALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4072
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
259-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41134100
—
WI
Enumeration date
08/23/2006
Last updated
07/09/2007
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