Individual
ANNA LYDIA VIERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
129 W GONSTEAD RD, MOUNT HOREB, WI 53572-3440
(608) 393-8934
Mailing address
129 W GONSTEAD RD, MOUNT HOREB, WI 53572-3440
(608) 393-8934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3152-154
WI
Other
Enumeration date
06/30/2008
Last updated
04/06/2026
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