Wendi Upthagrove, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Twin Lakes, WI
NPI 1104759745 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1104759745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1001073196 (WI)
- Practice address
- 1218 Wilmot Ave
Twin Lakes, WI 53181-9419 - Phone
- (262) 877-2148
- NPI assigned
- Jun 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001073196 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Lakes #4 School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1001073196 | WI | Yes |
Addresses
Primary practice location
1218 Wilmot Ave
Twin Lakes, WI 53181-9419
Mailing address
1218 Wilmot Ave
Twin Lakes, WI 53181-9419
Phone (262) 877-2148
Other providers in Twin Lakes, WI
- William G Strege Sr.
- Rachel Leigh Stremcha
- Lisa L. Thinnes
- Twin Lakes #4 School District
- Twin Lakes Volunteer Fire Department & Rescue Squad Inc
- Monica E Uselding
- Amanda J Warren
- Jonathan Wilson
- Within Holistic Counseling, Inc
- Josh Young
All providers in Twin Lakes, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.