Provider Demographics
NPI:1831210764
Name:FRANZ, BECKY L (MS CCC-A)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:L
Last Name:FRANZ
Suffix:
Gender:F
Credentials:MS 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:N3063 CTY HWY QQ
Mailing Address - Street 2:
Mailing Address - City:WAUPACA
Mailing Address - State:WI
Mailing Address - Zip Code:54981-8105
Mailing Address - Country:US
Mailing Address - Phone:715-602-4046
Mailing Address - Fax:715-258-0587
Practice Address - Street 1:N3063 CTY HWY QQ
Practice Address - Street 2:
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-8105
Practice Address - Country:US
Practice Address - Phone:715-602-4046
Practice Address - Fax:715-258-0587
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI267-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI267-156OtherAUDIOLOGY LICENSE NUMBER
39-2036613OtherFEIN
12004138OtherASHA CERTIFICATION NUMBER
WI41134300Medicaid