Provider Demographics
NPI:1225288954
Name:GIUDICE, DEANNA M (MS, SLP-CFY)
Entity Type:Individual
Prefix:MISS
First Name:DEANNA
Middle Name:M
Last Name:GIUDICE
Suffix:
Gender:F
Credentials:MS, SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 E OGDEN AVE
Mailing Address - Street 2:#416
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-2934
Mailing Address - Country:US
Mailing Address - Phone:262-327-4462
Mailing Address - Fax:
Practice Address - Street 1:5700 W. LAYTON AVE
Practice Address - Street 2:MT. CARMEL
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4016
Practice Address - Country:US
Practice Address - Phone:414-281-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3114-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist