Provider Demographics
NPI:1871966176
Name:PALS INC
Entity type:Organization
Organization Name:PALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:AMIOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-213-3231
Mailing Address - Street 1:13000 W BLUEMOUND RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ELM GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53122-2650
Mailing Address - Country:US
Mailing Address - Phone:262-825-4144
Mailing Address - Fax:
Practice Address - Street 1:13000 W BLUEMOUND RD
Practice Address - Street 2:SUITE 310
Practice Address - City:ELM GROVE
Practice Address - State:WI
Practice Address - Zip Code:53122-2650
Practice Address - Country:US
Practice Address - Phone:262-825-4144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI154-3607235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty