Walter, Laurie Renee

Walter, Laurie Renee is an individual health care provider with primary practice located at 2817 New Pinery Rd Ste 103 , Portage WI 53901-9257. 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. Walter, Laurie Renee can be contacted via phone (608) 745-6290.

Contact Information

Primary practice address
2817 New Pinery Rd Ste 103 Portage WI 53901-9257
Phone: (608) 745-6290
Fax: (608) 745-6250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2621-154 Wisconsin

Profile Details

NPI number 1265612998
LBN Legal business name Walter, Laurie Renee
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2007
Last updated Apr 3rd, 2017 - about 8 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 1265612998 NPPES
Wisconsin MEDICAID 42576100

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