IndividualActive
Brenna Wiczek, M.A., CCC-SLP
NPI 1518801489 · Speech-Language Pathologist · Glendale, WI
Provider details
- NPI number
- 1518801489
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6894-154 (WI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
801a W Glendale Ave
Glendale, WI 53209-6511
Phone: (920) 539-2591
Approximate (ZIP-level) locationGet directions
Mailing address
801a W Glendale Ave
Glendale, WI 53209-6511
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.