Individual
MS. LORI RENEE TEIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
45 W GREEN TREE RD, CLINTONVILLE, WI 54929-1055
(352) 620-5999
Mailing address
600 GREIG TRL, STOUGHTON, WI 53589-1185
(352) 620-5999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA9361
FL
235Z00000X
Speech-Language Pathologist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7680
NC LICENSE
NC
05
—
892844400
—
FL
01
—
SA9361
SPEECH LANGUAGE LICENSE
FL
01
—
SLP004433
STATE LICENSE
GA
Enumeration date
07/02/2007
Last updated
06/01/2026
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