Doctor Name: | MS. SUSAN DIANE MICHLER |
NPI Number: | 1497956874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 1504-154 |
Business Practice Address: | 7269 Highway 60 Cedarburg, WI - 53012 |
Business Phone Number: | 2623778350 |
Business Fax Number: | |
Mailing Address: | 296 Laurel Ln, FOND DU LAC |
State: | WI |
Postal Code: | 549355372 |
Phone Number: | 9209221272 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1504-154 |
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 |