| Doctor Name: | JESSICA SPERSTAD |
| NPI Number: | 1033474416 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 3577-154 |
| Business Practice Address: | 204 W Warren St Roberts, WI - 540239617 |
| Business Phone Number: | 7157493890 |
| Business Fax Number: | 7157494081 |
| Mailing Address: | 204 W Warren St, Po Box 220 ROBERTS |
| State: | WI |
| Postal Code: | 540239617 |
| Phone Number: | 7157493890 |
| Fax Number: | 7157494081 |
| NPI Enumeration Date: | 07/11/2012 |
| NPI Last Update Date: | 09/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235500000X |
| License Number: | 3577-154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |