Healthcare Provider Details
I. General information
NPI: 1093694796
Provider Name (Legal Business Name): RADIANT COMMUNICATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2886 PLESANT VIEW RD UNIT 201
MIDDLETON WI
53562
US
IV. Provider business mailing address
2800 E ENTERPRISE AVE STE 333
APPLETON WI
54913
US
V. Phone/Fax
- Phone: 608-456-5787
- Fax:
- Phone: 608-456-5787
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
O'NEIL
STADTMUELLER
Title or Position: SPEECH LANGUAGE PATHOLOGIST/MANAGER
Credential: M.S. CCC-SLP
Phone: 608-456-5787