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NPI Code Detail

MEDICARE: MRS. SARAH ELIZABETH TREDO CCC-SLP

MEDICARE: MRS. SARAH ELIZABETH TREDO 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 Pathologist2927154WI

General Provider Information

NPI Number : 1861665630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH ELIZABETH TREDO CCC-SLP
Provider Business Mailing Address
First Line : 9018 JACKSON PARK BLVD
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2610
Country : US
Telephone Number : 414-763-7750
Fax Number :
Provider Business Practice Location Address
First Line : 9018 JACKSON PARK BLVD
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2610
Country : US
Telephone Number : 414-763-7750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2008
Last Update Date : 04/11/2008

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Directions to “ MRS. SARAH ELIZABETH TREDO CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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