Provider Demographics
NPI:1427614247
Name:SPENCER, VERONICA GAYLE (AUD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:GAYLE
Last Name:SPENCER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:WI
Mailing Address - Zip Code:54656-2154
Mailing Address - Country:US
Mailing Address - Phone:804-440-0914
Mailing Address - Fax:
Practice Address - Street 1:4000 WI-16
Practice Address - Street 2:VALLEY VIEW MALL ANNEX
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601
Practice Address - Country:US
Practice Address - Phone:608-784-3886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist