NPI 1164262960

Kelly Sung

Practitioner Speech-Language Pathologist Portage, WI

Practice location

Address: 2815 New Pinery Rd, Portage, WI 53901-9257
Phone: (608) 745-6420
Mailing address: 7421 W Valley Ridge Dr, Madison, WI 53719-2359

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Other Speech-Language Pathologist providers in Wisconsin →

Registry record

NPI: 1164262960
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2024
Record last updated: 29 May 2024

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.