Individual
GANNA BAKHTIYAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1717 N STOUGHTON RD, MADISON, WI 53704-2605
(608) 838-8999
Mailing address
1717 N STOUGHTON RD, MADISON, WI 53704-2605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3551-154
WI
Other
Enumeration date
08/12/2011
Last updated
01/06/2026
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