Central Wisconsin Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CENTRAL WISCONSIN SPEECH THERAPY, LLC

Practice address

4510 Forest Valley Rd
Wausau, WI 54403-1104

Phone

(715) 551-9281

NPI assigned

Sep 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karla Renae Retrum, M.S., CCC-SLPNPI 1376930560

Title

Speech Language Pathologist-Owner

Phone

(715) 551-9281

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karla Renae Retrum, MS, CCC-SLP

  • Speech-Language Pathologist
  • Wausau, WI
  • NPI 1376930560
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1285411512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 FOREST VALLEY RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544031104",
            "telephone_number": "715-802-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 FOREST VALLEY RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544031104",
            "telephone_number": "715-551-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WISCONSIN SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "RETRUM",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST-OWNER",
        "authorized_official_telephone_number": "715-551-9281",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Wausau, WI
• Providers in Wausau, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.