Christine Prasse

Individual provider Active NPI Speech-Language Pathologist · Oconto, WI

NPI 1013083922 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013083922
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1493-154 (WI)
Practice address
501 Park Ave
Oconto, WI 54153-1612
Phone
(920) 834-6875
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1493-154WIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1493-154 WI Yes

Addresses

Primary practice location

501 Park Ave
Oconto, WI 54153-1612

Mailing address

1250 University Dr Apt 3
Marinette, WI 54143-4148

Other providers in Oconto, WI

All providers in Oconto, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.