Victoria Hillskotter, SLP
Individual provider Active NPI Speech-Language Pathologist · Weyauwega, WI
NPI 1740453448 · NPPES record last updated Apr 2, 2008
Key facts
- NPI
- 1740453448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 391-154 (WI)
- Practice address
- 206 W High St
Weyauwega, WI 54983-8985 - Phone
- (920) 867-3236
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 391-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 391-154 | WI | Yes |
Addresses
Primary practice location
206 W High St
Weyauwega, WI 54983-8985
Mailing address
206 W High St
Weyauwega, WI 54983-8985
Phone (920) 867-3236
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42717800 | Medicaid | WI |
Other providers in Weyauwega, WI
- Crossroads Care Center of Weyauwega, LLC
- Michelle Ann Dean
- Brian Domrzalski
- Extendicare Homes, Inc.
- Craig M Gorst
- Iris Health Clinic LLC
- Tatiana Jansen
- Kevin Richard Johnson
- Jana Marie Kizewski
- Valerie Mahoney
All providers in Weyauwega, 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 Apr 2, 2008. 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.