Doctor Name: | TAMARA SUE KASPER |
NPI Number: | 1558636050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP, BCBA |
License Number: | 562-154 |
Business Practice Address: | 388 Woodside Dr Cedarburg, WI - 530129553 |
Business Phone Number: | 2623880398 |
Business Fax Number: | 2629224444 |
Mailing Address: | 388 Woodside Dr, CEDARBURG |
State: | WI |
Postal Code: | 530129553 |
Phone Number: | 2623880398 |
Fax Number: | 2629224444 |
NPI Enumeration Date: | 03/15/2012 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 562-154 |
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 |