Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Angela Rae Derouin, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1760710693

Mrs. Angela Rae Derouin, MS, CCC-SLP is a Speech-Language Pathologist in Greenfield, Wisconsin. Works from 2 locations. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

9000 W Sura Ln
Greenfield, WI 53228-3477
Phone: (414) 246-6800
Fax: (414) 246-6405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 N Patrick Blvd Ste 250, Brookfield, WI 53045-5883 — (262) 255-1180

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 3231-154

Record details

NPI number1760710693
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 4, 2009
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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