MEDICARE: MS. KATHERINE LAMICH BAUER 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
1	235Z00000X	Speech-Language Pathologist	5463-154	WI

General Provider Information

NPI Number	:	1700574449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHERINE LAMICH BAUER SLP

Provider Business Mailing Address
First Line	:	N81W14701 FRANKLIN DR
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-3907
Country	:	US
Telephone Number	:	262-255-8440
Fax Number	:	262-255-8461

Provider Business Practice Location Address
First Line	:	N81W14701 FRANKLIN DR
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-3907
Country	:	US
Telephone Number	:	262-255-8440
Fax Number	:	262-255-8461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	06/08/2026

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