Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Autumn Marie Wickman

Individual provider Speech-Language Pathologist · NPI 1639781594

Autumn Marie Wickman is a Speech-Language Pathologist in Arden Hills, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4255 Lexington Ave N
Arden Hills, MN 55126-6164
Phone: (952) 746-5350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence CFDE-313 (MN)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1639781594
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2020
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026

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