KAEJAN T PEDERSON MS CCC-SLP
NPI 1124330626
Speech-Language Pathologist in Cornell, WI

Active since July 13, 2010
320 N 7TH ST, CORNELL, WI 54732(715) 239-0440(715) 239-6608 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaejan T Pederson Ms Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAEJAN T PEDERSON MS CCC-SLP (NPI 1124330626) is an individual speech-language pathologist provider in Cornell, Wisconsin, licensed in Wisconsin (3382-154) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1124330626
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKAEJAN T PEDERSONCredential: MS CCC-SLP
Location Address320 N 7TH STCornell, WI 54732-8120
Mailing Address320 N 7th StCornell, WI 54732-8120
Fax(715) 239-6608
Sole ProprietorYes
Enumeration DateJuly 13, 2010
Last NPPES UpdateDecember 2, 2014
NPI 1124330626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in WI · 3382-154
Definition

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.

320 N 7TH ST, Cornell, WI 54732

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
320 N 7TH ST
CORNELL, WI 54732
Physical Therapy Assistant
320 N 7TH ST
CORNELL, WI 54732
Occupational Therapy Assistant
320 N 7TH ST
CORNELL, WI 54732
Occupational Therapy Assistant
320 N 7TH ST
CORNELL, WI 54732
Physical Therapy Assistant
320 N 7TH ST
CORNELL, WI 54732
Skilled Nursing Facility
320 N 7TH ST
CORNELL, WI 54732
Skilled Nursing Facility
320 N 7TH ST
CORNELL, WI 54732
Physical Therapy Assistant
320 N 7TH ST
CORNELL, WI 54732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124330626, enumerated as an "individual" on July 13, 2010.

The provider is located at 320 N 7TH ST CORNELL, WI 54732 and the phone number is (715) 239-0440.

Speech-Language Pathologist with taxonomy code 235Z00000X.