NPI 1114589538

Michelle Herum, MSCCCSLP

Practitioner Speech-Language Pathologist Glendale, WI

Practice location

Address: 377 W River Woods Pkwy, Glendale, WI 53212-1088
Phone: (262) 923-7101
Mailing address: 4859 N Idlewild Ave, Whitefish Bay, WI 53217-5958

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 4519154 (WI)

Other Speech-Language Pathologist providers in Wisconsin →

Registry record

NPI: 1114589538
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2019
Record last updated: 5 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.