Individual
BRENNA WICZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
801A W GLENDALE AVE, GLENDALE, WI 53209-6511
(920) 539-2591
Mailing address
801A W GLENDALE AVE, GLENDALE, WI 53209-6511
(920) 539-2591
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6894-154
WI
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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