Individual provider · Type 1 NPI

Shelly Lyne Boutet

Speech-Language Pathologist · Milwaukee, WI

NPI number 1275444887 Active

Practice location

6620 W Capitol Dr
Milwaukee, WI 53216-2040

Call (414) 438-3679 Map

Mailing address

2015 N 54th St
Milwaukee, WI 53208-1663

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X177440 (WI)

Speech-Language Pathologist: 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, resonan…

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About NPI 1275444887

Shelly Lyne Boutet's National Provider Identifier is 1275444887, issued on Sep 14, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 14, 2026.