Individual
WENDY DIPROSPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
8633 32ND AVE, KENOSHA, WI 53142-5187
(262) 694-8800
Mailing address
5422 WASHINGTON RD, #209, KENOSHA, WI 53144-4281
(224) 717-6670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2448-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42804700
—
WV
Enumeration date
05/02/2007
Last updated
07/08/2007
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