MEDICARE: ROBYN RATHE CCC-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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1114850823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN RATHE CCC-SLP

Provider Business Mailing Address
First Line	:	7301 N LONGACRE RD
Second Line	:
City	:	FOX POINT
State	:	WI
Zip	:	53217-3544
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 N LONGACRE RD
Second Line	:
City	:	FOX POINT
State	:	WI
Zip	:	53217-3544
Country	:	US
Telephone Number	:	414-247-4102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ ROBYN RATHE CCC-SLP” Practice Location

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