Individual
MRS. PAMELA LISTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCSLP
Contact information
Practice address
711 WEST ADAMS ST., BLACK RIVER FALLS, WI 54615
(715) 284-5361
(715) 284-7166
Mailing address
711 WEST ADAMS ST., BLACK RIVER FALLS, WI 54615
(715) 284-5361
(715) 284-7166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
721-154
WI
235Z00000X
Speech-Language Pathologist
Primary
—
WI
Other
Enumeration date
05/12/2008
Last updated
12/14/2016
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