Active NPI
Lorren Wiedemann
- Speech-Language Pathologist
- Berrien Springs, MI
National Provider Identifier
1174433098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 710100150
- Practice address
- 711 Saint Joseph Ave
Berrien Springs, MI 49103-1583 - Phone
- (269) 471-7725
- NPI assigned
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 710100150 | MI | Primary |
Addresses
Primary practice location
711 Saint Joseph Ave
Berrien Springs, MI 49103-1583
Mailing address
711 Saint Joseph Ave
Berrien Springs, MI 49103-1583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1174433098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 SAINT JOSEPH AVE",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 SAINT JOSEPH AVE",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031583",
"telephone_number": "269-471-7725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDEMANN",
"first_name": "LORREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "710100150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berrien Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.