Provider Demographics
NPI:1902122609
Name:DAMMEIR, ALI ELIZABETH (SLP)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:ELIZABETH
Last Name:DAMMEIR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 W. LAYTON AVE
Mailing Address - Street 2:MOUNT CARMEL
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-4016
Mailing Address - Country:US
Mailing Address - Phone:414-325-4069
Mailing Address - Fax:414-282-7512
Practice Address - Street 1:5700 W. LAYTON AVE
Practice Address - Street 2:MOUNT CARMEL
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4016
Practice Address - Country:US
Practice Address - Phone:414-325-4069
Practice Address - Fax:414-282-7512
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3289-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist