=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376497446
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WISCONSIN SPEECH AND SWALLOW THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2026
-----------------------------------------------------
Last Update Date | 02/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 540 PLAZA DR APT 206
-----------------------------------------------------
City | MADISON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53719-3847
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-342-0993
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6666 ODANA RD
-----------------------------------------------------
City | MADISON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53719-1012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-342-0993
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH-LANGUAGE PATHOLOGIST
-----------------------------------------------------
Name | ELIZABETH FRANCES BALSIGER
-----------------------------------------------------
Credential | MS, CCC-SLP
-----------------------------------------------------
Telephone | 414-342-0993
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------