Healthcare Provider Details

I. General information

NPI: 1134352370
Provider Name (Legal Business Name): STEPHENI MARIE CURRAN M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHENI MARIE BALCSIK M.S., CF-SLP

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 09/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 2ND STREET THEDA CLARK MEDICAL CENTER 6TH FLOOR
NEENAH WI
54956-8941
US

IV. Provider business mailing address

130 2ND STREET THEDA CLARK MEDICAL CENTER 6TH FLOOR
NEENAH WI
54956-8941
US

V. Phone/Fax

Practice location:
  • Phone: 920-729-2155
  • Fax: 920-720-7350
Mailing address:
  • Phone: 920-729-2155
  • Fax: 920-720-7350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3109154
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: