Kerri Jean Ritsche, SPEECH PATHOLOGIST

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

NPI 1154720100 · NPPES record last updated Aug 15, 2014

Key facts

NPI
1154720100
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4003-154 (WI)
Practice address
198 County Road DF
Juneau, WI 53039-9515
Phone
(920) 386-3548
Fax
(920) 386-9721
NPI assigned
Aug 15, 2014
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
4003-154WIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4003-154 WI Yes

Addresses

Primary practice location

198 County Road DF
Juneau, WI 53039-9515

Mailing address

198 County Road DF
Juneau, WI 53039-9515
Phone (920) 386-3548

Other providers in Juneau, WI

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

Sources for this page

Verify at the official NPI Registry.