Individual
GREGORY P. HERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
438 ASHFORD AVE., LOMIRA, WI 53048
(920) 269-4403
(920) 269-4616
Mailing address
109 S SAINT JOSEPH LN, FOND DU LAC, WI 54935-3841
(920) 921-1226
(920) 269-4616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
244154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244154
LICENSE
WI
05
—
42739900
—
WI
Enumeration date
07/03/2007
Last updated
07/09/2007
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