Rebecca Lynn Baade, SLP
Individual provider Active NPI Speech-Language Pathologist · Burlington, WI
NPI 1629558457 · NPPES record last updated Aug 21, 2018
Key facts
- NPI
- 1629558457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4709-154 (WI)
- Practice address
- 677 E State St
Burlington, WI 53105-1639 - Phone
- (262) 763-9531
- NPI assigned
- Aug 21, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4709-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4709-154 | WI | Yes |
Addresses
Primary practice location
677 E State St
Burlington, WI 53105-1639
Mailing address
677 E State St
Burlington, WI 53105-1639
Phone (262) 763-9531
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- Jeffrey W Bailet
- Casey Balkowski
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- Lori Jo Bansemer
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All providers in Burlington, 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 Aug 21, 2018. 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.