MEDICARE: ALISHA TEARNEY 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
1	235Z00000X	Speech-Language Pathologist	4941-154	WI

General Provider Information

NPI Number	:	1962177287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA TEARNEY CCC-SLP

Provider Business Mailing Address
First Line	:	9110 W NORTH AVE APT 3
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-2659
Country	:	US
Telephone Number	:	630-589-4874
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 N 92ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3533
Country	:	US
Telephone Number	:	262-782-9015
Fax Number	:

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

Provider Enumeration Date	:	08/10/2021
Last Update Date	:	05/05/2026

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Directions to “ ALISHA TEARNEY CCC-SLP” Practice Location

Language	Start Address	Practice Location

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