Lisa Wicktor, MA CCC SLP
NPI 1104049162 · Speech-Language Pathologist · Minneapolis, MN
Lisa Wicktor, MA CCC SLP is a Speech-Language Pathologist provider in Minneapolis, MN (NPI 1104049162).
Provider details
- NPI number
- 1104049162
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA CCC SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 5691 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Lisa Wicktor's NPI number?
- Lisa Wicktor's National Provider Identifier (NPI) is 1104049162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Wicktor's specialty?
- Lisa Wicktor is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Lisa Wicktor located?
- Lisa Wicktor's practice location on file with NPPES is 701 Park Ave, Minneapolis, MN 55415-1623.
- What is Lisa Wicktor's phone number?
- The practice phone number listed in the NPPES registry for Lisa Wicktor is (612) 873-3899.
- Is Lisa Wicktor's NPI active?
- Yes — Lisa Wicktor's NPI (1104049162) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.