Deitz, Kysa Lyndell

Deitz, Kysa Lyndell is an individual health care provider with primary practice located at 1625 E Main St , Clintonville WI 54929-8407. 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. Deitz, Kysa Lyndell can be contacted via phone (715) 823-3135.

Contact Information

Primary practice address
1625 E Main St Clintonville WI 54929-8407
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1720646151
LBN Legal business name Deitz, Kysa Lyndell
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2019
Last updated Sep 19th, 2022 - about 4 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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