Individual
MRS. LORRIE L MITTELSTAEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, BCBA
Contact information
Practice address
1375 E MAIN ST, REEDSBURG, WI 53959-1498
(608) 805-1066
Mailing address
1375 E MAIN ST, REEDSBURG, WI 53959-1498
(608) 805-1066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
182-140
WI
235Z00000X
Speech-Language Pathologist
4500-154
WI
Other
Enumeration date
06/18/2008
Last updated
11/04/2025
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