Provider Demographics
NPI:1710786751
Name:BUCHHOLTZ, AUBREY
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:BUCHHOLTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 PLEASANT WAY
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:WI
Mailing Address - Zip Code:54165-1566
Mailing Address - Country:US
Mailing Address - Phone:920-209-7640
Mailing Address - Fax:
Practice Address - Street 1:607 E BRONSON RD
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:WI
Practice Address - Zip Code:54165-1040
Practice Address - Country:US
Practice Address - Phone:920-833-6856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist