Organization · Type 2 NPI

Green Bay Pediatric Therapy, LLC

Speech-Language Pathologist · De Pere, WI

NPI number 1386581346 Active

Practice location

330 N Broadway
De Pere, WI 54115-2510

Mailing address

981 Southern Cross Rd
Green Bay, WI 54303-6500

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

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 1386581346

Green Bay Pediatric Therapy, LLC's National Provider Identifier is 1386581346, issued on Apr 29, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in De Pere, WI. The record was last updated on Sep 15, 2026.