Provider Demographics
NPI:1427558899
Name:SEEFELDT, MARGARET ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:SEEFELDT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E11130 E ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:OSSEO
Mailing Address - State:WI
Mailing Address - Zip Code:54758-8819
Mailing Address - Country:US
Mailing Address - Phone:715-533-2204
Mailing Address - Fax:
Practice Address - Street 1:E11130 E ROBIN RD
Practice Address - Street 2:
Practice Address - City:OSSEO
Practice Address - State:WI
Practice Address - Zip Code:54758-8819
Practice Address - Country:US
Practice Address - Phone:715-533-2204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4339235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist