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

Individual provider Speech-Language Pathologist · NPI 1053022962

Jennie McCormick is a Qualified Speech Language Pathologist in Manitowoc, Wisconsin. Qualified in 2022, 4 years ago. Practices with Fox Rehabilitation Services Mn LLC, a 62-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
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Practice location Address checks out

1650 S 41st St
Manitowoc, WI 54220-7316
Phone: (920) 320-3100
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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 · Licence 6076 (WI)

Record details

NPI number1053022962
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 8, 2022
Mailing address1650 S 41st St, Manitowoc, WI 54220-7316

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 Fox Rehabilitation Services Mn Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manitowoc