Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104041748 Individual Practitioner Female Practitioner

Angeleen Dodge , SLP

Speech-Language Pathologist • Fond Du Lac, WI

Professional Overview & Biography Verified Profile Summary

Angeleen Dodge, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fond Du Lac, WI. Practice services are available at 500 N PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 N Park Ave

Fond Du Lac, WI 549351943

Telephone 9209298858
Fax 9209233038
Associated Practice Facility / Clinic
🏢 The Arc Of Fond Du Lac Facility NPI 1003993809

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fond Du Lac, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
43 Specialists

Practicing in Fond Du Lac, 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 1962-154

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42773400 (WI)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Heather Switz , PT

Physical Therapist

NPI 1841415445

Physical Therapist

Maura Nery , SLP

Speech-Language Pathologist

NPI 1902065121

Speech-Language Pathologist

Maryanne Burman , OT

Occupational Therapist

NPI 1942425582

Occupational Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 500 N PARK AVE, FOND DU LAC, WI 549351943 (Tel: 9209298858)

📍
Updated Business Mailing Address July 08, 2007

Registered at 500 N PARK AVE, FOND DU LAC, WI 549351943 (Tel: 9209298858)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANGELEEN DODGE, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #1962-154 in WI)

🟢
Initial NPI Registration & Enumeration April 17, 2007

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: 1104041748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

500 N Park Ave

Fond Du Lac, WI 549351943

Phone: 9209298858

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.