Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julia Wildenberg, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1821716507

Julia Wildenberg, MS, CCC-SLP is a Qualified Speech Language Pathologist in Green Bay, Wisconsin. Qualified in 2020, 6 years ago. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2801 S Webster Ave
Green Bay, WI 54301-2894
Phone: (920) 337-1122
Fax: (920) 337-1126
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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 6031-154 (WI)

Record details

NPI number1821716507
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address2801 S Webster Ave, Green Bay, WI 54301-2894

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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