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NPI Code Detail

MEDICARE: MARIGOLD SPEECH PATHOLOGY SERVICES, LLC

MEDICARE: MARIGOLD SPEECH PATHOLOGY SERVICES, LLC
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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1568153997
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIGOLD SPEECH PATHOLOGY SERVICES, LLC
Provider Business Mailing Address
First Line : 101 E MILWAUKEE ST STE 600
Second Line :
City : JANESVILLE
State : WI
Zip : 53545-3004
Country : US
Telephone Number : 608-728-7774
Fax Number : 608-621-3804
Provider Business Practice Location Address
First Line : 101 E MILWAUKEE ST STE 600
Second Line :
City : JANESVILLE
State : WI
Zip : 53545-3004
Country : US
Telephone Number : 608-728-7774
Fax Number : 608-621-3804
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : OLIVIA RAE JONES
Credential : CCC-SLP
Telephone Number : 608-728-2207
Provider Enumeration Date : 05/17/2023
Last Update Date : 04/20/2026

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Directions to “MARIGOLD SPEECH PATHOLOGY SERVICES, LLC ” 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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