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NPI 1578497095

NPI 1578497095 : STEPHANIE ANNE HERMAN M.S. CCC-SLP : BLACK RIVER FALLS, WI

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General NPI Number Information
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    NPI Number           |    1578497095
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE ANNE HERMAN M.S. CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/10/2026
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    Last Update Date     |    06/10/2026
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Provider Practice Location Address
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    Address Line         |    410 COUNTY HIGHWAY A 
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    City                 |    BLACK RIVER FALLS
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    State                |    WI
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    Zip                  |    54615
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    Country              |    US
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    Telephone            |    715-284-7155
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    311 MITCHELL AVE 
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    City                 |    EAU CLAIRE
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    State                |    WI
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    Zip                  |    54701-7216
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    Country              |    US
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    Telephone            |    715-284-7155
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    1015905308
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    License Number State |    WI
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