Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659417616 Individual Practitioner Female Practitioner

Molly A Gannon , SLP

Speech-Language Pathologist • Brookfield, WI

Professional Overview & Biography Verified Profile Summary

Molly Gannon, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Brookfield, WI. Practice services are available at 3360 GATEWAY RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3360 Gateway Rd Ste 100

Brookfield, WI 530455115

Telephone 2629237101
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Brookfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.3 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
115 Specialists

Practicing in Brookfield, WI (3821 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: 2024-04-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 1408

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42754200 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003790825

Doctor of Physical Therapy

Mackenzi Bowman

Physical Therapist

NPI 1013761618
NPI 1033994629

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Kailyn Schubert

Speech-Language Pathologist

NPI 1083250088
Salvatore Galante

Occupational Therapist

NPI 1093355778
Lisa Gamble , OTR

Occupational Therapist

NPI 1093383218

Occupational Therapist Registered

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location April 30, 2024

Registered at 3360 GATEWAY RD STE 100, BROOKFIELD, WI 530455115 (Tel: 2629237101)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 3305 N BALLARD RD STE C, APPLETON, WI 549119001 (Tel: 9207359234)

📍
Updated Business Mailing Address July 09, 2007

Registered at 165 FOX FIRE DR, OSHKOSH, WI 549046558 (Tel: 9204268463)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MOLLY GANNON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #1408 in WI)

🟢
Initial NPI Registration & Enumeration January 29, 2007

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: 1659417616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: April 30, 2024
Sole Proprietor: No

Mailing Address

165 Fox Fire Dr

Oshkosh, WI 549046558

Phone: 9204268463

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.