Most Relevant Information
Provider Data
| NPI Number: | 1003548017 |
| Provider Name: | KATIE ELIZABETH GUBBINS MS CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 5509-154 |
Most Important Dates
| Enumeration Date: | 06/28/2022 |
| Last Updated: | 06/28/2022 |
Provider Practice Location
3360 GATEWAY RD
BROOKFIELD
WI
530455115
Practice Location Phone/Fax
| Phone: | 4143395542 |
| Fax: |
Provider Mailing Location
3360 GATEWAY RD
BROOKFIELD
WI
530455115
Provider Mailing Phone/Fax
| Phone: | 4143395542 |
| Fax: |