Individual
JENNIFER M. KNISHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1785-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760660237
—
WI
01
—
60629
DEAN HEALTH INSURANCE
WI
Enumeration date
02/06/2008
Last updated
12/27/2020
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