Healthcare Provider Details

I. General information

NPI: 1588233431
Provider Name (Legal Business Name): SAVANNAH LYNN BAADE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N2385 SPRING ST
JUDA WI
53550-9702
US

IV. Provider business mailing address

604 E 5TH AVE
BRODHEAD WI
53520-1144
US

V. Phone/Fax

Practice location:
  • Phone: 608-934-5251
  • Fax:
Mailing address:
  • Phone: 608-897-6727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5239-154
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: