MEDICARE: JANE A YELLS SLP CCC

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	:	1821921537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE A YELLS SLP CCC

Provider Business Mailing Address
First Line	:	1379 S 9TH ST
Second Line	:
City	:	DE PERE
State	:	WI
Zip	:	54115-4213
Country	:	US
Telephone Number	:	920-632-3434
Fax Number	:

Provider Business Practice Location Address
First Line	:	2280 S BROADWAY
Second Line	:
City	:	ASHWAUBENON
State	:	WI
Zip	:	54304-4830
Country	:	US
Telephone Number	:	920-448-2870
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 “ JANE A YELLS SLP CCC” Practice Location

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