Kysa Lyndell Deitz, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Boyceville, WI
NPI 1720646151 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1720646151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 161 East St
Boyceville, WI 54725-9407 - Phone
- (715) 643-3647
- NPI assigned
- May 31, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | WI | Yes |
Addresses
Primary practice location
161 East St
Boyceville, WI 54725-9407
Mailing address
E2606 1151St Ave
Boyceville, WI 54725-9473
Phone (715) 931-8479
Other providers in Boyceville, WI
- Steven Mark Anderson
- Carrie Jo Bartos
- Boyceville Community Ambulance District
- Boyceville Community School District
- Cna Professional Services, L.L.P.
- Helens Home LLC
- Shanna Lee Krueger
- Jessica Dawn Schilling
- The Giving Tree Counseling and Resource Center
- Village of Boyceville Municipality
All providers in Boyceville, 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 Jul 21, 2026. 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.