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NPI Code Detail

MEDICARE: MRS. KERI LYNN THOMPSON MS/CCC-SLP

MEDICARE: MRS. KERI LYNN THOMPSON MS/CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2419-154WI

General Provider Information

NPI Number : 1295758886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KERI LYNN THOMPSON MS/CCC-SLP
Provider Business Mailing Address
First Line : 1814 S SUNKIST CIR
Second Line :
City : DE PERE
State : WI
Zip : 54115-3732
Country : US
Telephone Number : 920-627-6301
Fax Number :
Provider Business Practice Location Address
First Line : 1700 CHICAGO ST
Second Line :
City : DE PERE
State : WI
Zip : 54115-3418
Country : US
Telephone Number : 920-983-9174
Fax Number : 920-337-1033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 03/11/2026

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