Individual
MRS. SHAWNA MARIE BERENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
833 N 26TH ST, MILWAUKEE, WI 53233-1507
(414) 344-7676
Mailing address
833 N 26TH ST, MILWAUKEE, WI 53233-1507
(414) 344-7676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3863-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861829319
—
WI
Enumeration date
09/30/2013
Last updated
06/17/2015
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