MS. LAURIE RENEE WALTER (NPI# 1265612998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265612998 |
| Entity Type | Individual |
| Full Name | MS. LAURIE RENEE WALTER |
| Other Name | LAURIE MATTESON |
| Credential | M.S. CCC-SLP |
| Practice Address |
2817 New Pinery Rd Ste 103 Portage WI 53901-9257 |
| Practice Telephone | 6087456290 |
| Practice Fax Number | 6087456250 |
| Mailing Telephone | 6087456290 |
| Mailing Fax Number | 6087456250 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2017-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2621-154 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42576100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029807 | Laurie Walter | Social Worker | 1402 N Florence Ave Ste B, Claremore, OK 74017-3159 | 2020-10-06 |
| Street Address |
2817 NEW PINERY RD STE 103 |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-9257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295945046 | Matthew Steven Bekkedal | Specialist/Technologist | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9257 | 2007-05-23 |
| 1700189602 | Divine Savior Healthcare | General Acute Care Hospital | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9240 | 2010-12-15 |
| 1003087107 | Tami R Leslie | Audiologist | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9240 | 2008-03-17 |
| 1588851075 | Karissa Anne Youra | Occupational Therapist | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9257 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498914 | David P Perrodin | Speech-Language Pathologist | 450 Winnebago Ave, Portage, WI 53901-1230 | 2020-05-08 |
| 1821466269 | Carissa Kostan | Speech-Language Pathologist | 130 Fowler Ln, Portage, PA 15946-7112 | 2015-09-02 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1386947786 | Kortnee Paige Moore Warner | Speech-Language Pathologist | N328 3rd Ave, Portage, WI 53901-9314 | 2010-12-08 |
| 1871731075 | Christine L. Porter | Speech-Language Pathologist | 7507 Woodbridge Lane, Portage, MI 49024-4097 | 2009-01-26 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1417149063 | Cassandra K Ringer | Speech-Language Pathologist | 7021 Elaine Ave, Portage, IN 46368-2611 | 2007-08-16 |
| 1811019961 | Adelia M Vanmeter | Speech-Language Pathologist | 8120 Moorsbridge, Portage, MI 49024-5344 | 2007-04-06 |
| 1770601247 | Marcie A. Kovalsky | Speech-Language Pathologist | 514 Orchard Street, Portage, PA 15946 | 2007-03-26 |
| Find all providers in PORTAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.