Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Frederich, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1912894007

Bethany Frederich, CCC-SLP is a Qualified Speech Language Pathologist in Caledonia, Wisconsin. Qualified in 2022, 4 years ago. Practices with Oasis Therapy Services LLC, a 74-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2025
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

5737 Erie St
Caledonia, WI 53402-1970
Phone: (609) 802-4806
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 7003-154 (WI)

Record details

NPI number1912894007
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 20, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address4705 Ruby Ave, Caledonia, WI 53402-2570

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Oasis Therapy Services Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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