# UNIVERSITY LAKE SCHOOL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386504686
- **Authorized official:** MELISSA BENSON (CFO)
- **Authorized official phone:** (262) 367-6011

## Contact information

- **Practice address:** 4024 NAGAWICKA RD, HARTLAND, WI 53029-9363
- **Practice address phone:** (262) 501-3255
- **Practice address fax:** (262) 214-0157
- **Mailing address:** 4024 NAGAWICKA RD, HARTLAND, WI 53029-9363
- **Mailing address phone:** (262) 501-3255
- **Mailing address fax:** (262) 214-0157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TS0200X | School Psychologist | — | NULL | Yes |
| 103TS0200X | School Psychologist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/18/2025
- **Last updated:** 11/18/2025