SHELLY LYNE BOUTET NPI 1275444887

NPI Information

  • NPI: 1275444887
  • Provider Name: SHELLY LYNE BOUTET
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 6620 W CAPITOL DR
    MILWAUKEE, WI
    ZIP 53216
  • Phone: (414) 438-3679

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NPI Details

Shelly Lyne Boutet is a speech language pathologist in Milwaukee, WI. The provider is 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. Shelly Lyne Boutet NPI is 1275444887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6620 W CAPITOL DR
MILWAUKEE, WI
ZIP 53216-040
Phone: (414) 438-3679

The enumeration date for this NPI number is 9/14/2026 and was last updated on 9/14/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist177440WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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