Carmen Krug, SLP
Speech-Language Pathologist, in Deforest, WI. Individual provider (NPI-1).
NPI number1407428121
StatusActive
Last updated in NPPESOct 26, 2022
Details
- NPI
- 1407428121
- Entity type
- Individual (NPI-1)
- Name
- Carmen Krug
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Oct 26, 2022
- Last updated
- Oct 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 5297-154 | WI | Yes |
| 235Z00000X | Speech-Language Pathologist, | 5297 | WI |
Practice location
300 Cheyenne CtDeforest, WI 53532-1007
Phone 608-516-3702
Mailing address
300 Cheyenne CtDeforest, WI 53532-1007
Phone 608-516-3702
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All 13 Speech-Language Pathologist providers in Deforest · All 102 providers in Deforest
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