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Magdala Diersen

NPI 1760226179ActiveIndividual· Speech-Language Pathologist· Hudson, WI

Speech-Language Pathologist in Hudson, Wisconsin, licensed in WI, with an NPI issued in June 2024. Enrolled in Medicare as practitioner - qualified speech language pathologist.

Overview

NPI1760226179
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 20, 2024
Last updated in NPPESJun 20, 2024
Certified by providerJun 20, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X6618-154WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Speech Language Pathologist (WI)

Medicare sources and data years

Other Speech-Language Pathologist providers in Hudson

All Speech-Language Pathologist providers in Wisconsin →