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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: August 09, 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
Phone(715) 239-0440
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
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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.

KATIE OLIVER
Physical Therapy Assistant
320 N 7TH ST
CORNELL, WI 54732
Chippewa County (715) 239-0440
ASHLEY N LIDDELL PTA
Physical Therapy Assistant
320 N 7TH ST
CORNELL, WI 54732
Chippewa County (715) 239-6288
EXTENDICARE HOMES, INC.
Skilled Nursing Facility
320 N 7TH ST
CORNELL, WI 54732
Chippewa County (715) 239-6288
KATINA HODGSON COTA
Occupational Therapy Assistant
320 N 7TH ST
CORNELL, WI 54732
Chippewa County (715) 239-0440
KELSEY LEE MEYER RN
Nurse Practitioner (Family)
320 N 7TH ST
CORNELL, WI 54732
Chippewa County (715) 239-0337
KIM BERGH PTA
Physical Therapy Assistant
320 N 7TH ST
CORNELL, WI 54732
Chippewa County (715) 239-0440
NSH CORNELL LLC
Skilled Nursing Facility
320 N 7TH ST
CORNELL, WI 54732
Chippewa County (715) 239-6288
OLIVIA MEINHOLZ
Speech-Language Pathologist
320 N 7TH ST
CORNELL, WI 54732
Chippewa County (715) 239-6608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaejan Pederson's NPI number?

The NPI number for Kaejan Pederson is 1124330626. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Kaejan Pederson located?

Kaejan Pederson practices at 320 N 7th St, Cornell, WI 54732. The listed phone number is (715) 239-0440.

What is Kaejan Pederson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kaejan Pederson was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.