Individual
MRS. KRISTIN K WIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3442-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3442-154
SPEECH-LANGUAGE-PATHOLOGIST
WI
Enumeration date
10/08/2010
Last updated
08/07/2015
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