Green Bay Pediatric Therapy, LLC
Speech-Language Pathologist, in De Pere, WI. Organization (NPI-2).
NPI number1386581346
StatusActive
Last updated in NPPESSep 15, 2026
Details
- NPI
- 1386581346
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Bay Pediatric Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Apr 29, 2026
- Certification date
- Sep 15, 2026
- Last updated
- Sep 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
330 N BroadwayDe Pere, WI 54115-2510
Phone 920-241-6707
Mailing address
981 Southern Cross RdGreen Bay, WI 54303-6500
Phone 920-241-6707
Authorized official
Hannah Wesolowski
Speech Language Pathologist/Owner
9202416707
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All 36 Speech-Language Pathologist providers in De Pere · All 764 providers in De Pere
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