IndividualActive
Alisanne Haefner, SLP
NPI 1902537798 · Speech-Language Pathologist · Watertown, WI
Provider details
- NPI number
- 1902537798
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 5486-154 (WI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
111 Dodge St
Watertown, WI 53094-4434
Phone: (920) 262-1460
Fax: (920) 262-1469
Approximate (ZIP-level) locationGet directions
Mailing address
111 Dodge St
Watertown, WI 53094-4434
Registry dates
- Enumerated
- 2022-06-22
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.