Provider Demographics
NPI:1609942853
Name:AMMAN, ADRIENNE ELIZABETH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:ELIZABETH
Last Name:AMMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:2362 N 102ND ST
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-1621
Mailing Address - Country:US
Mailing Address - Phone:414-774-0298
Mailing Address - Fax:414-760-1372
Practice Address - Street 1:6800 N 76TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-5002
Practice Address - Country:US
Practice Address - Phone:414-353-5000
Practice Address - Fax:414-760-1372
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI2537-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist