Individual
MRS. TRACY SIPPL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
W2322 CULBERTSON RD, SEYMOUR, WI 54165-8445
(920) 833-2713
Mailing address
W2322 CULBERTSON RD, SEYMOUR, WI 54165-8445
(920) 833-2713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S140000043922
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42788700
—
WI
Enumeration date
04/10/2008
Last updated
04/10/2008
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