Organization
EARLY FOUNDATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE KLEINHEINZ BYRNES M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(608) 347-7794
Entity
Organization
Contact information
Practice address
32 PAGET RD, MADISON, WI 53704-5929
(608) 347-7794
Mailing address
32 PAGET RD, MADISON, WI 53704-5929
(608) 347-7794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2636-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42572900
—
WI
Enumeration date
05/22/2006
Last updated
03/29/2012
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