Individual
MRS. ANDREA LOUISE NUERNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
198 COUNTY ROAD DF, JUNEAU, WI 53039-9515
(920) 386-3548
(920) 239-3997
Mailing address
17700 W CAPITOL DR, LESSILA THERAPY, BROOKFIELD, WI 53045-2006
(262) 781-3083
(262) 781-3080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14052695
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14052695
LICENSE NUMBER
WI
Enumeration date
09/01/2017
Last updated
07/21/2022
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