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Cassidy Blaney

NPI 1508776006ActiveIndividual· Speech-Language Pathologist· West Bend, WI

Speech-Language Pathologist in West Bend, Wisconsin, licensed in WI, with an NPI issued in September 2026. Enrolled in Medicare as practitioner - qualified speech language pathologist.

Overview

NPI1508776006
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 9, 2026
Last updated in NPPESSep 9, 2026
Certified by providerSep 9, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X7456-154WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Speech Language Pathologist (WI)

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyQualified Speech Language Pathologist

Source: CMS Care Compare

Other Speech-Language Pathologist providers in West Bend

All Speech-Language Pathologist providers in Wisconsin →