Healthcare Provider Details

I. General information

NPI: 1477460855
Provider Name (Legal Business Name): AVERY ADKINS CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 W MITCHELL ST
MILWAUKEE WI
53215-2259
US

IV. Provider business mailing address

1215 CARRINGTON BLVD APT 207
MOUNT PLEASANT WI
53177-7716
US

V. Phone/Fax

Practice location:
  • Phone: 414-383-3699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7574-154
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: