Mary Therese Alberg, MS, CCC, SLP
Individual provider Active NPI Speech-Language Pathologist · Hudson, WI
NPI 1679794887 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679794887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1546-154 (WI)
- Practice address
- 1225 1St St
Hudson, WI 54016-1206 - Phone
- (715) 386-9970
- NPI assigned
- May 2, 2007
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1546-154 | WI | MD | Speech-Language Pathologist |
| 5171 | MN | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1546-154 | WI | Yes |
| Speech-Language Pathologist | 235Z00000X | 5171 | MN |
Addresses
Primary practice location
1225 1St St
Hudson, WI 54016-1206
Mailing address
1225 1St St
Hudson, WI 54016-1206
Phone (715) 386-9970
Other providers in Hudson, WI
- Aeg Wisconsin Vision Therapy LTD
- Aegis Therapies
- Aesir LLC
- Mary Ellen Akan
- Joshua Allan Albarado
- Align Residential Services
- Allied Mental Health LLC
- Allied Mental Health Specialty Group SC
- Alison Alsleben
- Jessica Altman
All providers in Hudson, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.