Individual
GLORIA J. KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MST CCC SLP
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
(715) 386-6119
Mailing address
747 TOWER RD, HUDSON, WI 54016-8207
(715) 426-5004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
699
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046996
PREFERRED ONE
—
05
—
42705700
—
WI
01
—
4600368
MEDICA
—
01
—
7982224
AETNA
—
01
—
98G38KN
BCBS MN
MN
01
—
HP43822
HEALTH PARTNERS
—
Enumeration date
01/28/2008
Last updated
01/28/2008
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