Provider Demographics
NPI:1881921302
Name:PEASE, FRANCINE (MS)
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:PEASE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824B EAST GENEVA STREET
Mailing Address - Street 2:
Mailing Address - City:DELAVAN
Mailing Address - State:WI
Mailing Address - Zip Code:53115-1932
Mailing Address - Country:US
Mailing Address - Phone:262-728-5918
Mailing Address - Fax:262-728-3093
Practice Address - Street 1:824B EAST GENEVA STREET
Practice Address - Street 2:
Practice Address - City:DELAVAN
Practice Address - State:WI
Practice Address - Zip Code:53115-1932
Practice Address - Country:US
Practice Address - Phone:262-728-5918
Practice Address - Fax:262-728-3093
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1738-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist