Healthcare Provider Details

I. General information

NPI: 1336086321
Provider Name (Legal Business Name): JOANN COLEEN BUHR PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 S 46TH ST
MILWAUKEE WI
53219-3206
US

IV. Provider business mailing address

2710 S 46TH ST
MILWAUKEE WI
53219-3206
US

V. Phone/Fax

Practice location:
  • Phone: 414-380-5008
  • Fax:
Mailing address:
  • Phone: 414-380-5008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1590047259
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: