Jessica Demerath

Individual provider Active NPI Speech-Language Pathologist · Little Chute, WI

NPI 1104789437 · NPPES record last updated Dec 4, 2025

Key facts

NPI
1104789437
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
901 Grand Ave
Little Chute, WI 54140-1714
Phone
(920) 788-7610
NPI assigned
Dec 4, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X WI Yes

Addresses

Primary practice location

901 Grand Ave
Little Chute, WI 54140-1714

Mailing address

901 Grand Ave
Little Chute, WI 54140-1714

Other providers in Little Chute, WI

All providers in Little Chute, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.