Healthcare Provider Details

I. General information

NPI: 1013139930
Provider Name (Legal Business Name): CHRISTOPHER D YENSAN SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S DIVISION ST
STOUGHTON WI
53589-1756
US

IV. Provider business mailing address

116 S DIVISION ST
STOUGHTON WI
53589-1756
US

V. Phone/Fax

Practice location:
  • Phone: 608-501-3462
  • Fax:
Mailing address:
  • Phone: 608-501-3462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: