Individual
MRS. ROBERTA L. BLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC/SLP
Contact information
Practice address
10133 N GETTYSBURG CT, MEQUON, WI 53092-5456
(262) 242-0099
Mailing address
10133 N GETTYSBURG CT, MEQUON, WI 53092-5456
(262) 242-0099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
541-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42673800
—
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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