Healthcare Provider Details

I. General information

NPI: 1528991163
Provider Name (Legal Business Name): EMMA GUENTHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 14TH AVE
MONROE WI
53566-3373
US

IV. Provider business mailing address

2625 14TH AVE
MONROE WI
53566-3373
US

V. Phone/Fax

Practice location:
  • Phone: 608-328-7172
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1001446436
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: