Healthcare Provider Details

I. General information

NPI: 1700574449
Provider Name (Legal Business Name): KATHERINE LAMICH BAUER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N81W14701 FRANKLIN DR
MENOMONEE FALLS WI
53051-3907
US

IV. Provider business mailing address

N81W14701 FRANKLIN DR
MENOMONEE FALLS WI
53051-3907
US

V. Phone/Fax

Practice location:
  • Phone: 262-255-8440
  • Fax: 262-255-8461
Mailing address:
  • Phone: 262-255-8440
  • Fax: 262-255-8461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5463-154
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: