Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417359514 Individual Practitioner Female Practitioner

Katelyn Mack , MS

Speech-Language Pathologist • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Katelyn Mack, MS is a registered healthcare professional specializing in Speech-Language Pathologist in Kenosha, WI. Practice services are available at 7610 PERSHING BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7610 Pershing Blvd

Kenosha, WI 531424318

Telephone 2629483600
Associated Practice Facility / Clinic
🏢 Mea-Aea Kenosha Sc Facility NPI 1477546737

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
75 Specialists

Practicing in Kenosha, 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 4014-154

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.

Practice Associates & Co-Workers

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

37 Associated Practitioners
Rachel Giese , OTR

Occupational Therapist

NPI 1003348285

Occupational Therapist Registered

Joseph Blando

Clinic/Center - Physical Therapy

NPI 1053297937
NPI 1073068722

Physical Therapist, Doctor of Physical Therapy

Ellen Fey , OT

Occupational Therapist

NPI 1083452718

Occupational Therapist

Annie Cai , SLP

Speech-Language Pathologist

NPI 1144892324

Speech-Language Pathologist

Danica Mesina , OTR, L

Occupational Therapist

NPI 1184361057

Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2014

Registered at 7610 PERSHING BLVD, KENOSHA, WI 531424318 (Tel: 2629483600)

📍
Updated Business Mailing Address September 19, 2014

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

👤
Provider Name / Credentials Updated September 19, 2014

Recorded as KATELYN MACK, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2014

Speech-Language Pathologist (License #4014-154 in WI)

🟢
Initial NPI Registration & Enumeration September 19, 2014

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: 1417359514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2014
Last Update: September 19, 2014
Sole Proprietor: No

Mailing Address

10400 75th St

Kenosha, WI 531427884

Phone: 2629485600

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.