Miranda Copa Armstrong, M.S. CCC-SLP

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

NPI 1992377691 · NPPES record last updated Jul 22, 2024

Key facts

NPI
1992377691
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
1111 Westwood Dr
Wausau, WI 54401-7804
Phone
(715) 952-1029
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5260WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Easy Speech Therapy LLC Speech-Language Pathologist Current
since Jul 28, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

1111 Westwood Dr
Wausau, WI 54401-7804

Mailing address

3917 Doolittle Dr Apt 10
Stevens Point, WI 54481-7310
Phone (715) 846-8888

Other practice location 1

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-9449 ext. 39459

Other practice location 2

3917 Doolittle Dr Apt 10
Stevens Point, WI 54481-7310
Phone (715) 846-8888

Other providers in Wausau, WI

All providers in Wausau, WI · Speech-Language Pathologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.