Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary M Vodra, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1629345046

Mrs. Mary M Vodra, MSCCC-SLP is a Speech-Language Pathologist in Waupaca, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
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Practice location Address checks out

1226 Berlin St
Waupaca, WI 54981-1991
Phone: (715) 258-5521
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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 2443-154 (WI)

Record details

NPI number1629345046
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedNovember 30, 2011
Last updated in NPPESNovember 30, 2011

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