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Active NPI 1104754019 Individual Practitioner Female Practitioner

Marion Villahermosa Hermitanio

Speech-Language Pathologist • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Marion Hermitanio is a registered healthcare professional specializing in Speech-Language Pathologist in Green Bay, WI. Practice services are available at 539 LAVERNE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

539 Laverne Dr

Green Bay, WI 543115720

Telephone 9203912410

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
125 Specialists

Practicing in Green Bay, 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: 2026-05-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 922209

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

1 Associated Practitioners
Simmi Mosier , MA, CCC-SLP

Speech-Language Pathologist

NPI 1104756394

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 11, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2026

Registered at 539 LAVERNE DR, GREEN BAY, WI 543115720 (Tel: 9203912410)

📍
Updated Business Mailing Address May 11, 2026

Registered at 2259 RED TAIL GLN, DE PERE, WI 541151631 (Tel: 9206641575)

👤
Provider Name / Credentials Updated May 11, 2026

Recorded as MARION HERMITANIO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2026

Speech-Language Pathologist (License #922209 in WI)

🟢
Initial NPI Registration & Enumeration May 11, 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: 1104754019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2026
Last Update: May 11, 2026
Sole Proprietor: No

Mailing Address

2259 Red Tail Gln

De Pere, WI 541151631

Phone: 9206641575

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.