Cruz Peterson, Marcelline Christine

Cruz Peterson, Marcelline Christine is an individual health care provider with primary practice located at 801 S Klein Dr , Waunakee WI 53597-1575. 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. Cruz Peterson, Marcelline Christine can be contacted via phone (608) 849-5016.

Contact Information

Primary practice address
801 S Klein Dr Waunakee WI 53597-1575
Phone: (608) 849-5016
Fax: (608) 849-6516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1786-154 Wisconsin

Profile Details

NPI number 1437326030
LBN Legal business name Cruz Peterson, Marcelline Christine
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated May 13th, 2008 - about 18 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 1437326030 NPPES
Wisconsin MEDICAID 42783200

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