Heidi Koeshall, MS CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Pulaski, WI

NPI 1558278317 · NPPES record last updated Aug 26, 2026

Key facts

NPI
1558278317
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
832812 (WI)
Practice address
143 W Green Bay St
Pulaski, WI 54162-9350
Phone
(920) 622-6000
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 832812 WI Yes

Addresses

Primary practice location

143 W Green Bay St
Pulaski, WI 54162-9350

Mailing address

1619 W Marhill Rd
Green Bay, WI 54313-6009
Phone (262) 339-2565

Other providers in Pulaski, WI

All providers in Pulaski, 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 Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.