Individual
MS. LYNN ANN ROETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C.
Contact information
Practice address
1500 HIGHLAND AVE, ROOM S101, MADISON, WI 53705-2274
(608) 263-5760
(608) 263-5884
Mailing address
1500 HIGHLAND AVE, ROOM S101, MADISON, WI 53705-2274
(608) 263-5760
(608) 263-5884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
179-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42691800
—
WI
Enumeration date
04/16/2007
Last updated
07/08/2007
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