Doctor Name: | ELIZABETH ANN EISERMAN |
NPI Number: | 1568508711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CF SLP |
License Number: | 2852-154 |
Business Practice Address: | 6308 Eight Ave Suite 501 Kenosha, WI - 53143 |
Business Phone Number: | 2626563299 |
Business Fax Number: | |
Mailing Address: | 318 57th St Unit 310, KENOSHA |
State: | WI |
Postal Code: | 531404249 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2852-154 |
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 |