Mary De Starkey, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Suamico, WI
NPI 1114729183 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1114729183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 3351 Oak Forest Dr
Suamico, WI 54313-7628 - Phone
- (815) 354-1459
- NPI assigned
- Mar 27, 2025
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
3351 Oak Forest Dr
Suamico, WI 54313-7628
Mailing address
3351 Oak Forest Dr
Suamico, WI 54313-7628
Phone (815) 354-1459
Other providers in Suamico, WI
- April J. Kobishop Knutson
- Lori Berkovitz
- Cheveyo LLC
- Cornerstone Counseling Solutions
- Chad D Denamur
- Cathy Devalk-Holl
- Devoted Transport LLC
- Jamey Marie Francar
- Tyler Guist
All providers in Suamico, 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 May 14, 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.