Healthcare Provider Details

I. General information

NPI: 1386802353
Provider Name (Legal Business Name): JODI LYNN BUDD SLINDE M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 A ST
CHIPPEWA FALLS WI
54729-3202
US

IV. Provider business mailing address

3434 62ND AVE
ELK MOUND WI
54739-4194
US

V. Phone/Fax

Practice location:
  • Phone: 715-726-2411
  • Fax:
Mailing address:
  • Phone: 715-379-4180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: