Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Countryside Communication Clinic, LLC

Organization Speech-Language Pathologist · NPI 1659281822

Countryside Communication Clinic, LLC provides Speech-Language Pathologist services in LA Valle, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

S1510 Wegner Rd
LA Valle, WI 53941-9309
Phone: (608) 630-4694
Fax: (608) 608-8414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1659281822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keely Bauer — Speech-Language Pathologist · (608) 630-4694
NPI enumeratedSeptember 10, 2026
Last updated in NPPESSeptember 10, 2026
Certification dateSeptember 10, 2026
Mailing addressS1510 Wegner Rd, La Valle, WI 53941-9309