MEDICARE: KRISTIN TAIPALE

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
1	235Z00000X	Speech-Language Pathologist	1001346775	WI

General Provider Information

NPI Number	:	1326975657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN TAIPALE

Provider Business Mailing Address
First Line	:	1215 NORTON ST
Second Line	:
City	:	HAMMOND
State	:	WI
Zip	:	54015-9603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 E 11TH ST
Second Line	:
City	:	NEW RICHMOND
State	:	WI
Zip	:	54017-2591
Country	:	US
Telephone Number	:	715-243-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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Directions to “ KRISTIN TAIPALE ” Practice Location

Language	Start Address	Practice Location

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