NPI

Countryside Communication Clinic, Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2026-09-10
Last updated
2026-09-10

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
S1510 Wegner Rd
City
La Valle WI
Postal code
53941-9309
Phone
(608) 630-4694

Organization contact

Name
KEELY BAUER
Title
Speech-Language Pathologist
Phone
6086304694

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in La Valle, WI. 12 records in the public file.

Removal request

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