Healthcare Provider Details

I. General information

NPI: 1295644722
Provider Name (Legal Business Name): CLAIRE WESTLAKE MS, CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 MEMORIAL DR
BERLIN WI
54923-1252
US

IV. Provider business mailing address

222 MEMORIAL DR
BERLIN WI
54923-1252
US

V. Phone/Fax

Practice location:
  • Phone: 920-361-2004
  • Fax: 920-361-2170
Mailing address:
  • Phone: 920-361-2004
  • Fax: 920-361-2170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1001483463
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: