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

Individual provider Speech-Language Pathologist · NPI 1720818586

Gretchen Marie Bushman is a Qualified Speech Language Pathologist in Waconia, Minnesota. Qualified in 2024, 2 years ago. Practices as a sole proprietor.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

9346 Oak Ave
Waconia, MN 55387-9422
Phone: (608) 556-6120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1720818586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2024
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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