Kysa Lyndell Deitz, CCC-SLP
NPI #1720646151 in Clintonville, Wisconsin
Provider Information
- NPI Number
- 1720646151
- Entity Type
- Individual
- Name
- Kysa Lyndell Deitz, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- May 31, 2019
- Last Updated
- Sep 19, 2022
Practice Location
- Address
- 1625 E MAIN ST
- City
- Clintonville
- State
- Wisconsin
- ZIP Code
- 54929-8407
- Phone
- (715) 823-3135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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