Healthcare Provider Details

I. General information

NPI: 1356681605
Provider Name (Legal Business Name): ERIN STECK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2013
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12784 NORTH RD
GRANTSBURG WI
54840-8121
US

IV. Provider business mailing address

12784 N RD.
GRANTSBURG WI
54840
US

V. Phone/Fax

Practice location:
  • Phone: 414-405-3165
  • Fax:
Mailing address:
  • Phone: 414-405-3165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22005617A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: