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NPI Code Detail

MEDICARE: MS. JEANNIE MARIE STROH MS, CCC-SLP

MEDICARE:  MS. JEANNIE MARIE STROH  MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2161-154WI

General Provider Information

NPI Number : 1023208428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEANNIE MARIE STROH MS, CCC-SLP
Provider Business Mailing Address
First Line : N1827 PARKVIEW CIR
Second Line :
City : PALMYRA
State : WI
Zip : 53156-9229
Country : US
Telephone Number : 262-495-4726
Fax Number :
Provider Business Practice Location Address
First Line : 3939 S 92ND ST
Second Line :
City : GREENFIELD
State : WI
Zip : 53228-2140
Country : US
Telephone Number : 414-321-1800
Fax Number : 414-546-1825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2007
Last Update Date : 07/31/2007

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Directions to “ MS. JEANNIE MARIE STROH MS, CCC-SLP” Practice Location

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