Individual
GRETCHEN HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 250-1870
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4031-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100296924
—
WI
01
—
14059477
ASHA LICENSE NUMBER
WI
01
—
4031-154
STATE SPEECH THERAPY LICENSE
WI
Enumeration date
05/20/2021
Last updated
12/06/2024
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