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

Individual provider Speech-Language Pathologist · NPI 1811797442

Mackenzie Green, MS, CCC-SLP is a Speech-Language Pathologist in Sheboygan, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025
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

1125 N 13th St
Sheboygan, WI 53081-3281
Phone: (920) 803-1617
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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 6887 (WI)

Record details

NPI number1811797442
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 13, 2025
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address1125 N 13th St, Sheboygan, WI 53081-3281

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