Anderson, Beth Ann

Anderson, Beth Ann is an individual health care provider with primary practice located at 1119 N Wisconsin St , Port Washington WI 53074-1209. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Anderson, Beth Ann can be contacted via phone (262) 284-5892.

Contact Information

Primary practice address
1119 N Wisconsin St Port Washington WI 53074-1209
Phone: (262) 284-5892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2872-154 Wisconsin

Profile Details

NPI number 1598977613
LBN Legal business name Anderson, Beth Ann
Credentials M.S.CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Oct 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598977613 NPPES
Wisconsin MEDICAID 42581700

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