Individual
KRISTA LEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-7564
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3123-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42595000
—
WI
Enumeration date
09/08/2008
Last updated
01/29/2015
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