Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124330626 Individual Practitioner Female Practitioner

Kaejan T Pederson , MS CCC-SLP

Speech-Language Pathologist • Cornell, WI

Professional Overview & Biography Verified Profile Summary

Kaejan Pederson, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Cornell, WI. Practice services are available at 320 N 7TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 N 7th St

Cornell, WI 547328120

Telephone 7152390440
Fax 7152396608
Associated Practice Facility / Clinic
🏢 Extendicare Homes, Inc. Facility NPI 1285707372

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Cornell, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Cornell, WI (3821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 3382-154

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Katie Oliver

Physical Therapy Assistant

NPI 1023372562
Heather Somers

Physical Therapy Assistant

NPI 1134556533
Katina Hodgson , COTA

Occupational Therapy Assistant

NPI 1295037018

Certified Occupational Therapy Assistant

Kim Bergh , PTA

Physical Therapy Assistant

NPI 1417296237

Physical Therapist Assistant

Pamela Wayne , COTA

Occupational Therapy Assistant

NPI 1982885141

Certified Occupational Therapy Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2014

Registered at 320 N 7TH ST, CORNELL, WI 547328120 (Tel: 7152390440)

📍
Updated Business Mailing Address December 02, 2014

Registered at 320 N 7TH ST, CORNELL, WI 547328120

👤
Provider Name / Credentials Updated December 02, 2014

Recorded as KAEJAN PEDERSON, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2014

Speech-Language Pathologist (License #3382-154 in WI)

🟢
Initial NPI Registration & Enumeration July 13, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124330626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2010
Last Update: December 02, 2014
Sole Proprietor: Yes

Mailing Address

320 N 7th St

Cornell, WI 547328120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.