Ashlely Rae Anderson, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Lodi, WI

NPI 1699682500 · NPPES record last updated Aug 26, 2026

Key facts

NPI
1699682500
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
115 School St
Lodi, WI 53555-1046
Phone
(608) 852-6469
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

Specialties & licenses

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

Addresses

Primary practice location

115 School St
Lodi, WI 53555-1046

Mailing address

110 Cobblestone Dr
Lodi, WI 53555-1421

Other providers in Lodi, WI

All providers in Lodi, 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 26, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.