Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Rae Retzlaff, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1518640598

Courtney Rae Retzlaff, MSCCC-SLP is a Speech-Language Pathologist in Beaver Dam, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

104 Fakes Ct
Beaver Dam, WI 53916
Phone: (715) 923-7014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (WI)

Record details

NPI number1518640598
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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