| Doctor Name: | KATHRYN D'AMBROSE SLABOCH |
| NPI Number: | 1407272271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CFY-SLP |
| License Number: | 3931154 |
| Business Practice Address: | 10243 W National Ave West Allis, WI - 532272028 |
| Business Phone Number: | 4146047208 |
| Business Fax Number: | |
| Mailing Address: | 839 N Marshall St Apt 21, MILWAUKEE |
| State: | WI |
| Postal Code: | 532023901 |
| Phone Number: | 6303004270 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2014 |
| NPI Last Update Date: | 07/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3931154 |
| 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 |