Doctor Name: | ALLISON PAIGE KALLSTROM |
NPI Number: | 1528474939 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3985-154 |
Business Practice Address: | 1105 Davidson Rd Brookfield, WI - 530456606 |
Business Phone Number: | 2627844740 |
Business Fax Number: | |
Mailing Address: | 2308 Dubay Dr, MOSINEE |
State: | WI |
Postal Code: | 544559367 |
Phone Number: | 7153020609 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2014 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3985-154 |
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 |