| Organization Name: | LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC |
| NPI Number: | 1376563593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD A. HAUSER (CPO) |
| Mailing Address: | 514 Riverview Ave Waukesha |
| State: | WI US |
| Postal Code: | 531883631 |
| Phone Number: | 2625487333 |
| Fax Number: | 2628966879 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| 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 |