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NPI Code Detail

MEDICARE: EMILY PORTILLO SLP

MEDICARE: EMILY PORTILLO 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 Pathologist

General Provider Information

NPI Number : 1902738735
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY PORTILLO SLP
Provider Business Mailing Address
First Line : 756 E HILLCREST DR
Second Line :
City : VERONA
State : WI
Zip : 53593-1720
Country : US
Telephone Number : 608-963-9593
Fax Number :
Provider Business Practice Location Address
First Line : 700 N MAIN ST
Second Line :
City : VERONA
State : WI
Zip : 53593-1103
Country : US
Telephone Number : 608-845-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ EMILY PORTILLO SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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