| Doctor Name: | DANA MARIE INGWERSEN |
| NPI Number: | 1164463527 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | 966-154 |
| Business Practice Address: | W173n10915 Bernies Way Germantown, WI - 530224043 |
| Business Phone Number: | 2625093300 |
| Business Fax Number: | |
| Mailing Address: | 5453 N 12th St, MILWAUKEE |
| State: | WI |
| Postal Code: | 532095103 |
| Phone Number: | 4144779985 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 02/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 966-154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |