| Doctor Name: | SANDRA KORTHAS |
| NPI Number: | 1386850782 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | Center For Blind & Visually Impaired Children 5600 W Brown Deer Rd, Ste. 4 Milwaukee, WI - 53223 |
| Business Phone Number: | 4143553060 |
| Business Fax Number: | 4143553547 |
| Mailing Address: | 2609 Faringdon Ct, WAUKESHA |
| State: | WI |
| Postal Code: | 531881343 |
| Phone Number: | 2625475973 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |