Individual
MRS. SUSAN TORKE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/CCC/SLP
Contact information
Practice address
570 GREEN MEADOW DR, BROOKFIELD, WI 53045-3625
(262) 792-1874
Mailing address
570 GREEN MEADOW DR, BROOKFIELD, WI 53045-3625
(262) 792-1874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
458-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42678500
—
WI
01
—
458-154
SPEECH PATH. LICENSE
WI
Enumeration date
08/06/2007
Last updated
08/06/2007
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