Provider Demographics
NPI:1366678765
Name:JAGLOWSKI, PATRICIA MARY (MS SPEECH PATHOLOGY)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARY
Last Name:JAGLOWSKI
Suffix:
Gender:F
Credentials:MS SPEECH PATHOLOGY
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Mailing Address - Street 1:N6281 HILLCREST TER
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-2832
Mailing Address - Country:US
Mailing Address - Phone:262-902-1422
Mailing Address - Fax:262-763-3006
Practice Address - Street 1:N6281 HILLCREST TER
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-2832
Practice Address - Country:US
Practice Address - Phone:262-902-1422
Practice Address - Fax:262-763-3006
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-31
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WIJ242235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist