| Doctor Name: | MISS MARIE YVONNE KASPER |
| NPI Number: | 1457657942 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S.,M.A.,CCC-SLP |
| License Number: | (DPI) 631904 |
| Business Practice Address: | 6722 Highway 50 Lake Geneva, WI - 531473647 |
| Business Phone Number: | 2622482029 |
| Business Fax Number: | |
| Mailing Address: | W4691 Palmer Rd, LAKE GENEVA |
| State: | WI |
| Postal Code: | 531472623 |
| Phone Number: | 2623749408 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2011 |
| NPI Last Update Date: | 02/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | (DPI) 631904 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |