Individual
AMY E NEUBECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CCC
Contact information
Practice address
104 FAKES CT, BEAVER DAM, WI 53916-2699
(920) 392-5122
Mailing address
104 FAKES CT # 2433, BEAVER DAM, WI 53916-2699
(920) 392-5102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
53-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-154
SPEECH
WI
Enumeration date
07/26/2006
Last updated
11/05/2019
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