SearchWisconsin235Z00000X

Jessica Longdin, MS/CCC-SLP

NPI 1295013324 · on the registry since 2011

Practice

Address
1604 Saint Paul Ave
North Fond Du Lac, WI 54937
Phone
(920) 602-2367

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin