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

Mrs. Kellie Marie Lanza, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1497946719

Mrs. Kellie Marie Lanza, MSCCC-SLP is a Speech-Language Pathologist in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

6700 N Port Washington Rd C/o St Francis Children's Ctr
Glendale, WI 53217-3919
Phone: (414) 351-8850
Fax: (414) 351-8846
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2960-154 (WI)

Record details

NPI number1497946719
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedAugust 5, 2007
Last updated in NPPESNovember 22, 2011

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