Casey Elizabeth Wiesemeyer M.S.CCC-SLP

NPI 1538438445 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1538438445
Gender Female
Enumeration Date 12/21/2011
Last Updated 12/21/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
2201 COPPER CREEK RD
MARYVILLE IL, 62062, US
Phone (618) 972-8475
Fax
Business Location
2201 COPPER CREEK RD
MARYVILLE IL, 62062-5664, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 146010640
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According to our database, Casey Elizabeth Wiesemeyer M.S.CCC-SLP NPI is 1538438445, taxonomy code is 235Z00000X and license number is 146010640, license state is located at Illinois. Casey Elizabeth Wiesemeyer M.S.CCC-SLP physically located at 2201 Copper Creek Rd, Maryville IL, 62062. NPI Number Casey Elizabeth Wiesemeyer M.S.CCC-SLP has the Individual type.

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1538438445 NPI number is provided on an as is basis without warranty of any kind. 1538438445 is maintained by the National Plan & Provider Enumeration System. The contents of Casey Elizabeth Wiesemeyer M.S.CCC-SLP are for informational purposes only.