Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306036116 Individual Practitioner Female Practitioner

Diana M Vodicka , MS CCC, SLP

Speech-Language Pathologist • West Bend, WI

Professional Overview & Biography Verified Profile Summary

Diana Vodicka, MS CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in West Bend, WI. Practice services are available at 1190 E PARADISE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1190 E Paradise Dr

West Bend, WI 530955444

Telephone 2623066319
Associated Practice Facility / Clinic
🏢 West Bend Clinic, Inc. Facility NPI 1043220692

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in West Bend, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
41 Specialists

Practicing in West Bend, 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 220

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
42670600 (WI)

Practice Associates & Co-Workers

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

23 Associated Practitioners
Anne Duba , PT

Physical Therapist

NPI 1023192515

Physical Therapist

Tiffany Larson , OT

Occupational Therapist

NPI 1063596559

Occupational Therapist

Malinda Fryklund , OTR

Occupational Therapist

NPI 1144239674

Occupational Therapist Registered

Molly Shea

Physical Therapist

NPI 1164836698
Lisa Johnson , PTA

Physical Therapy Assistant

NPI 1245552298

Physical Therapist Assistant

Dr. Katie Soja , DPT

Physical Therapist

NPI 1285165126

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2012

Registered at 1190 E PARADISE DR, WEST BEND, WI 530955444 (Tel: 2623066319)

📍
Updated Business Mailing Address December 05, 2012

Registered at 1700 W PARADISE DR, WEST BEND, WI 530959795 (Tel: 2623343451)

👤
Provider Name / Credentials Updated December 05, 2012

Recorded as DIANA VODICKA, MS CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2012

Speech-Language Pathologist (License #220 in WI)

🟢
Initial NPI Registration & Enumeration July 27, 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: 1306036116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2007
Last Update: December 05, 2012
Sole Proprietor: No

Mailing Address

1700 W Paradise Dr

West Bend, WI 530959795

Phone: 2623343451

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.