Provider Demographics
NPI:1851559835
Name:GREGG, VALERIE J (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:GREGG
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:J
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:S7630B W GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MERRIMAC
Mailing Address - State:WI
Mailing Address - Zip Code:53561-9711
Mailing Address - Country:US
Mailing Address - Phone:608-493-3300
Mailing Address - Fax:
Practice Address - Street 1:S7630B W GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:MERRIMAC
Practice Address - State:WI
Practice Address - Zip Code:53561-9711
Practice Address - Country:US
Practice Address - Phone:608-493-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI106272235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist