Individual
MICHELLE B BASLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6173
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-3370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202007037
VA
235Z00000X
Speech-Language Pathologist
Primary
3956-154
WI
235Z00000X
Speech-Language Pathologist
3969
WI
Other
Enumeration date
06/18/2013
Last updated
08/16/2024
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