Individual
MRS. TERRY R FAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
516 26TH AVE, MONROE, WI 53566-1531
(608) 329-6600
(608) 329-6594
Mailing address
523 SAINT CLARE CT, MONROE, WI 53566-1541
(608) 325-4156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
781-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42707100
—
WI
Enumeration date
05/04/2007
Last updated
07/08/2007
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