| Doctor Name: | MS. MARY GOES PASBRIG |
| NPI Number: | 1639210255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 440-154 |
| Business Practice Address: | 17160 W North Ave Suite 201 Brookfield, WI - 530054437 |
| Business Phone Number: | 2627895211 |
| Business Fax Number: | |
| Mailing Address: | 11210 W Gilbert Ave, Unit C WAUWATOSA |
| State: | WI |
| Postal Code: | 532262258 |
| Phone Number: | 4142589547 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 440-154 |
| 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 |