Jordan Doyle

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

NPI 1952243693 · NPPES record last updated Apr 9, 2026

Key facts

NPI
1952243693
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
14282713 (WI)
Practice address
E19320 Bartig Rd
Augusta, WI 54722-7501
Phone
(715) 286-3368
NPI assigned
Apr 9, 2026
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
14282713WIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14282713 WI Yes

Addresses

Primary practice location

E19320 Bartig Rd
Augusta, WI 54722-7501

Mailing address

E19320 Bartig Rd
Augusta, WI 54722-7501

Other providers in Augusta, WI

All providers in Augusta, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.