Individual
MS. LAURA ANTON IA NITSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
618 BEASER AVENUE, ASHLAND, WI 54806
(715) 682-2363
(715) 682-7244
Mailing address
1011 CHAPPLE AVENUE, ASHLAND, WI 54806
(715) 682-2363
(715) 682-7244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2415154
WI
235Z00000X
Speech-Language Pathologist
596569
WI
235Z00000X
Speech-Language Pathologist
7689
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42578800
—
WI
Enumeration date
10/27/2006
Last updated
07/08/2007
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