Provider Demographics
NPI:1922857200
Name:SCHAAL, TESS (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:TESS
Middle Name:
Last Name:SCHAAL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:TESS
Other - Middle Name:
Other - Last Name:ROSNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF-SLP
Mailing Address - Street 1:7511 EMOND LN
Mailing Address - Street 2:
Mailing Address - City:LENA
Mailing Address - State:WI
Mailing Address - Zip Code:54139-9753
Mailing Address - Country:US
Mailing Address - Phone:920-591-0021
Mailing Address - Fax:
Practice Address - Street 1:7511 EMOND LN
Practice Address - Street 2:
Practice Address - City:LENA
Practice Address - State:WI
Practice Address - Zip Code:54139-9753
Practice Address - Country:US
Practice Address - Phone:920-591-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0000000000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist