Individual
KELLI E BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9000 W SURA LN, GREENFIELD, WI 53228
(414) 246-6800
(414) 246-6405
Mailing address
9000 W SURA LN, GREENFIELD, WI 53228-3477
(414) 246-6800
(414) 246-6405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4119-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058207
—
WI
Enumeration date
03/23/2016
Last updated
11/22/2021
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