NPI 1023678398

Kayla Diesner

Practitioner Speech-Language Pathologist Glendale, WI

Practice location

Address: 1616 W Bender Rd, Glendale, WI 53209-3802
Phone: (414) 228-8700
Mailing address: 3939 N Murray Ave APT 404, Shorewood, WI 53211-2318

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 4845-154 (WI)

Other Speech-Language Pathologist providers in Wisconsin →

Registry record

NPI: 1023678398
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2019
Record last updated: 18 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.