Individual provider · Type 1 NPI

Marion Villahermosa Hermitanio

Speech-Language Pathologist · Green Bay, WI

NPI number 1104754019 Active

Practice location

539 Laverne Dr
Green Bay, WI 54311-5720

Call (920) 391-2410 Map

Mailing address

2259 Red Tail Gln
De Pere, WI 54115-1631

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X922209 (WI)

Speech-Language Pathologist: 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, resonan…

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About NPI 1104754019

Marion Villahermosa Hermitanio's National Provider Identifier is 1104754019, issued on May 11, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Green Bay, WI. The record was last updated on May 11, 2026.