DORIAN L GLAZE CCC-SLP
NPI 1912170606
Speech-Language Pathologist in Rice Lake, WI

Active since April 02, 2008
1100 N MAIN ST, RICE LAKE, WI 54868(715) 236-6408(715) 236-6588 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dorian L Glaze Ccc-slp NPPES

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

DORIAN L GLAZE CCC-SLP (NPI 1912170606) is an individual speech-language pathologist provider in Rice Lake, Wisconsin, licensed in Wisconsin (2379-154) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1912170606
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDORIAN L GLAZECredential: CCC-SLP
Location Address1100 N MAIN STRice Lake, WI 54868-1238
Mailing Address1100 N Main StRice Lake, WI 54868-1238 · (715) 236-6408 · Fax (715) 236-6588
Fax(715) 236-6588
Sole ProprietorNo
Enumeration DateApril 2, 2008
NPI 1912170606 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 · 2379-154
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.

1100 N MAIN ST, Rice Lake, WI 54868

Other Identifiers 1

Medicaid42797400WI

Other Providers at the Same Location NPPES 16

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

Occupational Therapist
1100 N MAIN ST
RICE LAKE, WI 54868
Speech-Language Pathologist
1100 N MAIN ST
RICE LAKE, WI 54868
Pain Medicine (Interventional Pain Medicine)
1100 N MAIN ST
RICE LAKE, WI 54868
Physical Therapist
1100 N MAIN ST
RICE LAKE, WI 54868
Pharmacist
1100 N MAIN ST
RICE LAKE, WI 54868
Durable Medical Equipment & Medical Supplies
1100 N MAIN ST
RICE LAKE, WI 54868
Anesthesiology (Pain Medicine)
1100 N MAIN ST
RICE LAKE, WI 54868
Anesthesiology (Pain Medicine)
1100 N MAIN ST
RICE LAKE, WI 54868

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 Dorian Glaze's NPI number?

The NPI number for Dorian Glaze is 1912170606. It was assigned to this individual provider in the NPPES registry on April 2, 2008.

Where is Dorian Glaze located?

Dorian Glaze practices at 1100 N Main St, Rice Lake, WI 54868. The listed phone number is (715) 236-6408.

What is Dorian Glaze'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 Dorian Glaze was last updated on April 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.