KYSA L. DEITZ CCC-SLP – NPI #1720646151
Speech-Language Pathologist

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.

KYSA DEITZ is a speech-language pathologist (SLP) located in CLINTONVILLE, WI. NPPES has assigned the NPI number 1720646151 to KYSA DEITZ on May 31, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 235Z00000X from the Health Care Provider Taxonomy code set, which is classified as Speech-Language Pathologist.

The NPI profile was previously updated about 4 years ago on Sep 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KYSA DEITZ below.

NPI Profile for
KYSA L. DEITZ

NPI Number
1720646151
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KYSA L. DEITZ
Credentials
CCC-SLP
Primary location
1625 E MAIN ST
CLINTONVILLE, WI 54929-8407
Phone: (715) 823-3135 Fax:
1 Other location(s):
70 W Green Tree Rd
Clintonville, WI 54929-1009
Phone: (715) 823-2194
Mailing address
E2606 1151ST AVE
BOYCEVILLE, WI 54725-9473
Phone: (715) 931-8479 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 19, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
235Z00000X
- Speech-Language Pathologist (Primary)
WI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.