Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CATHY J (WILSON) PETTIBONE, MS/CCC-SLP
ActiveSpeech, Language and Hearing Specialist · STOUGHTON, WI
Registration Details
- NPI Number
- 1417339250
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2015 (10.814307501688 yrs)
- Last Updated
- Jun 28, 2015
- License
-
2197-154 (WI)
Practice Information
- Address
-
400 N MORRIS STSTOUGHTON, WI, 535891857Browse WI providers · Browse ZIP 53589
- Phone
- 6088735651
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in STOUGHTON, WI
| Name | Credential | NPI |
|---|---|---|
| BRIAN KOTHBAUER | — | 1982813762 |
| MS. KRISTEN POWELL LEE | M.S., CCC-SLP | 1174724355 |
| JANE GRINYER DEAN | M.S. CCC-SLP | 1942476130 |
| MS. LYNN RULIEN MCKENZIE | M.S. | 1255571329 |
| MADELYN RAE KOOIMA | — | 1073340469 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.