Individual
MRS. JANA SUSANNE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
(414) 354-3300
(414) 354-7419
Mailing address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
(414) 354-3300
(414) 354-7419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2492-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42577700
—
WI
Enumeration date
05/02/2008
Last updated
05/02/2008
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