Alexis Killian, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Whitefish Bay, WI

NPI 1881422673 · NPPES record last updated Jul 23, 2024

Key facts

NPI
1881422673
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
6708-154 (WI)
Practice address
159 E Silver Spring Dr Ste H
Whitefish Bay, WI 53217-4703
Phone
(414) 888-4212
NPI assigned
Jul 23, 2024
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6708-154WIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6708-154 WI Yes

Addresses

Primary practice location

159 E Silver Spring Dr Ste H
Whitefish Bay, WI 53217-4703

Mailing address

3860A S Austin St
Milwaukee, WI 53207-3913

Other providers in Whitefish Bay, WI

All providers in Whitefish Bay, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.