Countryside Communication Clinic, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COUNTRYSIDE COMMUNICATION CLINIC, LLC

Practice address

S1510 Wegner Rd
La Valle, WI 53941-9309

Phone

(608) 630-4694

Fax

(608) 608-8414

NPI assigned

Sep 10, 2026

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keely Communication Bauer, MS, CCC-SLP

Title

Speech-Language Pathologist

Phone

(608) 630-4694

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1659281822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S1510 WEGNER RD",
            "city": "LA VALLE",
            "state": "WI",
            "postal_code": "539419309",
            "telephone_number": "608-630-4694",
            "fax_number": "608-608-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S1510 WEGNER RD",
            "city": "LA VALLE",
            "state": "WI",
            "postal_code": "539419309",
            "telephone_number": "608-630-4694",
            "fax_number": "608-608-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE COMMUNICATION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "KEELY",
        "authorized_official_middle_name": "COMMUNICATION",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "608-630-4694",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenore Deloughery, L.C.S.W.
• Suzanne E Downing, LPN, PDN
• Heather R Frank, LICENSED PRACTICAL N
• Angela Kay Hulce, LMT
• Alisia Marshall, RN

• Speech-Language Pathologist in La Valle, WI
• Providers in La Valle, 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 10, 2026; 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.