Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaejan T Pederson, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1124330626

Kaejan T Pederson, MSCCC-SLP is a Speech-Language Pathologist in Cornell, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2010
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Practice location Address checks out

320 N 7th St
Cornell, WI 54732-8120
Phone: (715) 239-0440
Fax: (715) 239-6608
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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 · Licence 3382-154 (WI)

Record details

NPI number1124330626
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJuly 13, 2010
Last updated in NPPESDecember 2, 2014

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