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

Kasey Lynn Wickberg, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1285369108

Kasey Lynn Wickberg, MSCCC-SLP is a Speech-Language Pathologist in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2022.

Licensed in
OK
In the registry since
2022

Practice location Address checks out

14715 Bristol Park Blvd
Edmond, OK 73013-1894
Phone: (405) 840-1686
Fax: (405) 840-1006
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 5767 (OK)

Record details

NPI number1285369108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJuly 24, 2022
Last updated in NPPESJuly 24, 2022
Certification dateMay 27, 2022

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