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NPI Code Detail

MEDICARE: TRACY TODOROVIC SLP

MEDICARE: TRACY TODOROVIC SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist1957ND
2235Z00000XSpeech-Language Pathologist6135-154WI

General Provider Information

NPI Number : 1023685542
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY TODOROVIC SLP
Provider Business Mailing Address
First Line : 411 PRAIRIE HEIGHTS DR STE 101
Second Line :
City : VERONA
State : WI
Zip : 53593-2238
Country : US
Telephone Number : 608-556-6120
Fax Number : 608-509-4068
Provider Business Practice Location Address
First Line : 991 KIMBALL LN
Second Line :
City : VERONA
State : WI
Zip : 53593-1785
Country : US
Telephone Number : 608-556-6120
Fax Number : 608-509-4068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2021
Last Update Date : 10/06/2025

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Directions to “ TRACY TODOROVIC SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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