Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659202992 Individual Practitioner Female Practitioner

Leslie Wildtraut

Speech-Language Pathologist • Waite Park, MN

Professional Overview & Biography Verified Profile Summary

Leslie Wildtraut is a registered healthcare professional specializing in Speech-Language Pathologist in Waite Park, MN. Practice services are available at 1201 2ND ST S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1201 2nd St S

Waite Park, MN 563872325

Telephone 3203708000

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Waite Park, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Waite Park, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 455013

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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Anna Larson

Speech-Language Pathologist

NPI 1215560719
Nicole Zitzow , CCC SLP

Speech-Language Pathologist

NPI 1386587996

Speech-Language Pathologist (Certificate of Clinical Competence)

Katrina Gearhart

Occupational Therapist

NPI 1396676532
Tracy Stock , OTR, L

Occupational Therapist

NPI 1508797747

Occupational Therapist Registered, L

Katelyn Dietrich , CCC-SLP

Speech-Language Pathologist

NPI 1518894773

Speech-Language Pathologist (Certificate of Clinical Competence)

Kristie Skuza

Speech-Language Pathologist

NPI 1518895887

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 26, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2026

Registered at 1201 2ND ST S, WAITE PARK, MN 563872325 (Tel: 3203708000)

📍
Updated Business Mailing Address May 26, 2026

Registered at 1201 2ND ST S, WAITE PARK, MN 563872325

👤
Provider Name / Credentials Updated May 26, 2026

Recorded as LESLIE WILDTRAUT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2026

Speech-Language Pathologist (License #455013 in MN)

🟢
Initial NPI Registration & Enumeration May 26, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659202992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2026
Last Update: May 26, 2026
Sole Proprietor: No

Mailing Address

1201 2nd St S

Waite Park, MN 563872325

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.