Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennie McCormick

Individual provider Speech-Language Pathologist · NPI 1053022962

Jennie McCormick is a Qualified Speech Language Pathologist in Manitowoc, Wisconsin. Qualified in 2022, 4 years ago. Practices with Fox Rehabilitation Services Mn LLC, a 62-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
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Practice location Address checks out

1650 S 41st St
Manitowoc, WI 54220-7316
Phone: (920) 320-3100
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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 6076 (WI)

Record details

NPI number1053022962
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fox Rehabilitation Services Mn Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manitowoc