Individual
DR. SHANNON M THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CCC-SLP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-7502
(608) 263-6199
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2353
WI
Other
Enumeration date
04/18/2006
Last updated
01/12/2016
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