Healthcare Provider Details

I. General information

NPI: 1801726559
Provider Name (Legal Business Name): STACEY LEE SPRENGER M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 S 3RD AVE
WINNECONNE WI
54986-9646
US

IV. Provider business mailing address

2401 STAR DR UNIT 8
NEENAH WI
54956-2870
US

V. Phone/Fax

Practice location:
  • Phone: 920-582-5803
  • Fax:
Mailing address:
  • Phone: 920-582-5803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1590050120
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: