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Mackenzie Rusteberg, MS, CCC-SLP

Speech-Language Pathologist, in Waukesha, WI. Individual provider (NPI-1).

NPI number1164076998
StatusActive
Last updated in NPPESMay 21, 2026

Details

NPI
1164076998
Entity type
Individual (NPI-1)
Name
Mackenzie Rusteberg
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 30, 2019
Certification date
May 21, 2026
Last updated
May 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

301 Hyde Park Ave
Waukesha, WI 53188-3051

Phone 262-970-1000

Mailing address

301 Hyde Park Ave
Waukesha, WI 53188-3051

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