MRS. ANGELA RAE DEROUIN MS CCC-SLP NPI 1760710693

NPI Information

  • NPI: 1760710693
  • Provider Name: MRS. ANGELA RAE DEROUIN, MS, CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 200 N PATRICK BLVD STE 250
    BROOKFIELD, WI
    ZIP 53045
  • Phone: (262) 255-1180

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NPI Details

MRS. Angela Rae Derouin, MS, CCC-SLP is a speech language pathologist in Brookfield, 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. MRS. Angela Rae Derouin, MS, CCC-SLP NPI is 1760710693. 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:

200 N PATRICK BLVD STE 250
BROOKFIELD, WI
ZIP 53045-883
Phone: (262) 255-1180
Fax: (262) 255-1638

The enumeration date for this NPI number is 12/4/2009 and was last updated on 9/25/2023.

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 Pathologist3231-154Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100007790MEDICAIDWISCONSIN

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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