Judith Wodzak
NPI 1811630510ActiveIndividual· Speech-Language Pathologist· St Louis Park, MN
Speech-Language Pathologist with Park Nicollet Clinic, practicing in St Louis Park, Minnesota. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1811630510 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 19, 2022 |
| Last updated in NPPES | Aug 11, 2025 |
| Certified by provider | Aug 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 528845 | MN |
| Speech-Language Pathologist | 235Z00000X | 4877154 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MN) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Other speech-language pathologists in St Louis Park
- 1174672471
- 1326458522
- 1336963917
- 1407238470
- 1417019035
- 1528188976
- 1538395926
- 1558599043
- 1679026603
- 1700220613
- 1902020886
- 1316094626
All 71 speech-language pathologists in St Louis Park · All speech-language pathologists in Minnesota