Mittelstaedt, Lorrie L

Mittelstaedt, Lorrie L is an sole proprietor health care provider with primary practice located at 420 Viking Dr , Reedsburg WI 53959-1675. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mittelstaedt, Lorrie L can be contacted via phone (608) 524-9600.

Contact Information

Primary practice address
420 Viking Dr Reedsburg WI 53959-1675
Phone: (608) 524-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4500-154 Wisconsin
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 182-140 Wisconsin

Profile Details

NPI number 1841451317
LBN Legal business name Mittelstaedt, Lorrie L
Credentials M.S., CCC-SLP, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2008
Last updated Apr 18th, 2023 - about 3 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 1841451317 NPPES
Illinois MEDICAID 36-2300706

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