Provider Demographics
NPI:1285759423
Name:MUELLER, REBECCA ANN (AUD)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ANN
Last Name:MUELLER
Suffix:
Gender:F
Credentials:AUD
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Mailing Address - Street 1:4805 MOORLAND RD
Mailing Address - Street 2:FROEDTERT & THE MEDICAL
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151
Mailing Address - Country:US
Mailing Address - Phone:262-798-7479
Mailing Address - Fax:262-798-7481
Practice Address - Street 1:4805 S. MOORLAND ROAD, MOORLAND RESERVE
Practice Address - Street 2:FROEDTERT & MEDICAL COLLEGE OF WI - COMMUNITY PHYSICIAN
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-7401
Practice Address - Country:US
Practice Address - Phone:262-798-7479
Practice Address - Fax:262-798-7481
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL147-000983231H00000X
WI300-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist