Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992016935 Individual Practitioner Female Practitioner

Emily Ann Wickert , SLP

Speech-Language Pathologist • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Emily Wickert, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Green Bay, WI. Practice services are available at 744 S WEBSTER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

744 S Webster Ave

Green Bay, WI 54301

Telephone 9204315555
Fax 9204304745
Associated Practice Facility / Clinic

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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 3362-154

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
100009898 (WI)

Practice Associates & Co-Workers

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

11 Associated Practitioners
Joseph Kucksdorf , PT

Physical Therapist

NPI 1093035859

Physical Therapist

Linda Watkins , PTA

Physical Therapy Assistant

NPI 1164673810

Physical Therapist Assistant

Jill Wentworth , PTA

Physical Therapy Assistant

NPI 1194973693

Physical Therapist Assistant

David Reinke , LAT

Specialist/Technologist - Athletic Trainer

NPI 1225294606

Licensed Athletic Trainer

Jesse Krzyzanowski , PT

Physical Therapist

NPI 1447570882

Physical Therapist

Eric Erdmann , PT

Physical Therapist

NPI 1518116292

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 21, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2010

Registered at 744 S WEBSTER AVE, GREEN BAY, WI 54301 (Tel: 9204315555)

📍
Updated Business Mailing Address December 21, 2010

Registered at 840 APHRODITE RD, GREEN BAY, WI 543115460 (Tel: 9204335555)

👤
Provider Name / Credentials Updated December 21, 2010

Recorded as EMILY WICKERT, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2010

Speech-Language Pathologist (License #3362-154 in WI)

🟢
Initial NPI Registration & Enumeration June 24, 2010

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: 1992016935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2010
Last Update: December 21, 2010
Sole Proprietor: No

Mailing Address

840 Aphrodite Rd

Green Bay, WI 543115460

Phone: 9204335555

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.