Individual
SARA PLATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
900 E GRANT ST, APPLETON, WI 54911-3487
(920) 831-5050
Mailing address
N9393 EMILY LN, APPLETON, WI 54915-8510
(920) 851-3959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2176-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390824015
—
WI
Enumeration date
09/27/2017
Last updated
09/27/2017
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