Provider Demographics
NPI:1558367128
Name:RAABE, ANN LYNN (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:LYNN
Last Name:RAABE
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 INDIAN MOUND RD
Mailing Address - Street 2:
Mailing Address - City:NEW LISBON
Mailing Address - State:WI
Mailing Address - Zip Code:53950-1526
Mailing Address - Country:US
Mailing Address - Phone:608-562-5535
Mailing Address - Fax:
Practice Address - Street 1:HESS MEMORIAL HOSPITAL
Practice Address - Street 2:1050 DIVISION ST.
Practice Address - City:MAUSTON
Practice Address - State:WI
Practice Address - Zip Code:53948-1931
Practice Address - Country:US
Practice Address - Phone:608-847-1414
Practice Address - Fax:608-847-6452
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI104-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41113800Medicaid
WI41113800Medicaid