Individual provider · NPI-1
Eleanor Jane Ahlberg, MS, CCC-SLP
Speech-Language Pathologist, · Racine, WI
NPI number1013847839
StatusActive
Last updated in NPPESMay 22, 2026
Details
- NPI
- 1013847839
- Entity type
- Individual (NPI-1)
- Name
- Eleanor Jane Ahlberg
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2026
- Certification date
- May 22, 2026
- Last updated
- May 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | WI | Yes |
Practice location
1901 12th StRacine, WI 53403-1618
Phone 708-990-5158
Mailing address
3109 Mount Pleasant StRacine, WI 53404-1511
Phone 262-635-5600
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