Individual
KEELY E. BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2357 ERNSTMEYER RD, REEDSBURG, WI 53959-2566
(608) 415-0002
Mailing address
2357 ERNSTMEYER RD, REEDSBURG, WI 53959-2566
(608) 415-0002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2509
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42801100
—
WI
Enumeration date
05/26/2006
Last updated
05/30/2008
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