Alisa Garr
Individual provider Active NPI Speech-Language Pathologist · Prescott, WI
NPI 1780969428 · NPPES record last updated Oct 13, 2011
Key facts
- NPI
- 1780969428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3555-154 (WI)
- Practice address
- 1505 Orrin Rd
Prescott, WI 54021-1074 - Phone
- (715) 262-1107
- NPI assigned
- Oct 13, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3555-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3555-154 | WI | Yes |
Addresses
Primary practice location
1505 Orrin Rd
Prescott, WI 54021-1074
Mailing address
909 Holley Ave
St Paul Park, MN 55071-1419
Other providers in Prescott, WI
- Alyssa Kathryn Eich
- Karyn Lynn Ekelin
- Feuillerat, D.D.S., S.C.
- Jay Feuillerat
- Kurt R. Fuchs
- Scott William Hamilton
- Sarah Michelle Harvieux
- Sarah Hei
- Hillary Jane Hunter
- Barbara J. Hutchinson
All providers in Prescott, 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 Oct 13, 2011. 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.