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

Individual provider Speech-Language Pathologist · NPI 1457224537

Lauryn Elizabeth Wenberg is a Qualified Speech Language Pathologist in Saint Paul, Minnesota. Qualified in 2024, 2 years ago. Practices with Active Therapy Mn, a 22-clinician group. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2025
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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2595
Phone: (651) 254-3456
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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 LICC-4052 (MN)

Record details

NPI number1457224537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

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)
Group practice Active Therapy Mn — 22 clinicians
Accepts Medicare assignment Not indicated

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