Individual
AMY BETH STREETER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
10766 N MEQUON TRL, MEQUON, WI 53092-8550
(262) 242-7737
Mailing address
10766 N MEQUON TRL, MEQUON, WI 53092-8550
(262) 242-7737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1010154
WI
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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