Raeanne L Albertson, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · La Crosse, WI
NPI 1396972196 · NPPES record last updated Jun 18, 2009
Key facts
- NPI
- 1396972196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3259-154 (WI)
- Practice address
- 2935 East Ave S
La Crosse, WI 54601-7243 - Phone
- (608) 787-5572
- Fax
- (608) 787-7775
- NPI assigned
- Jun 18, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3259-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coulee Children'S Center, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3259-154 | WI | Yes |
Addresses
Primary practice location
2935 East Ave S
La Crosse, WI 54601-7243
Mailing address
2935 East Ave S
La Crosse, WI 54601-7243
Phone (608) 787-5572
Other providers in La Crosse, WI
- Elizabeth M Aiello
- Raju G Ailiani
- Renuka R Ailiani
- Paula Jayne Aitken
- Amarilys De Maria Alarcon Calderon
- Jennifer Ann Albrecht
- David Roger Blaney Alderman
- Chelsea M Ale
- Gregory Aleckson
- Ronald Alexander II
All providers in La Crosse, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.