Individual
CARLY RANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6674 RONALD REAGAN AVE, MADISON, WI 53704-2395
(608) 556-6120
Mailing address
700 UNIVERSITY BAY DR APT 201, MADISON, WI 53705-2268
(608) 577-0984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022019677
MO
235Z00000X
Speech-Language Pathologist
Primary
4946-154
WI
Other
Enumeration date
08/15/2022
Last updated
08/02/2026
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