Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871767442 Individual Practitioner Female Practitioner

Lisa Marie Conklyn , MS, CCC-SLP

Speech-Language Pathologist • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Lisa Conklyn, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Kenosha, WI. Practice services are available at 5722 35TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5722 35th Ave

Kenosha, WI 531444124

Telephone 2626526486

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
75 Specialists

Practicing in Kenosha, 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 2382-154

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
42798400 (WI)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2008

Registered at 5722 35TH AVE, KENOSHA, WI 531444124 (Tel: 2626526486)

📍
Updated Business Mailing Address April 15, 2008

Registered at 5722 35TH AVE, KENOSHA, WI 531444124 (Tel: 2626526486)

👤
Provider Name / Credentials Updated April 15, 2008

Recorded as LISA CONKLYN, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2008

Speech-Language Pathologist (License #2382-154 in WI)

🟢
Initial NPI Registration & Enumeration April 15, 2008

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: 1871767442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2008
Last Update: April 15, 2008
Sole Proprietor: No

Mailing Address

5722 35th Ave

Kenosha, WI 531444124

Phone: 2626526486

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

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