Individual provider · Type 1 NPI

Sophia Kim Marie Thiede, SLP-CF

Speech-Language Pathologist · Medford, WI

NPI number 1184301129 Active

Practice location

103 S Gibson St
Medford, WI 54451-1622

Call (715) 748-8112 Map

Mailing address

103 S. Gibson Street
Medford, WI 54451

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X6854154 (WI)
Speech-Language Pathologist 235Z00000X6320154 (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 1184301129

Sophia Kim Marie Thiede, SLP-CF's National Provider Identifier is 1184301129, issued on Jun 30, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Medford, WI. The record was last updated on Jul 22, 2026.