NPI 1407055528

Jacqueline Nicole Maxam

Practitioner Audiologist Appleton, WI

Practice location

Address: 1520 N Meade St, Appleton, WI 54911-3762
Phone: (920) 734-7181
Fax: (920) 734-0621

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 471-156 (WI)

Other Audiologist providers in Wisconsin →

Registry record

NPI: 1407055528
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2007
Record last updated: 12 Oct 2011

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.