Kimberly Sue Wise CCC-SLP

NPI 1740408608 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1740408608
Gender Female
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4692 SPOTTSWOOD AVE
MEMPHIS TN, 38117-4822, US
Phone (901) 647-5682
Fax (901) 761-7171
Business Location
585 CEDAR GROVE CV
HERNANDO MS, 38632-6656, US
Phone (901) 647-5682
Fax (901) 761-7171
Toxanomy
Taxonomy Code 235Z00000X
License State Mississippi
License Number S2834
Remove 1740408608 NPI Number
 

According to our database, Kimberly Sue Wise CCC-SLP NPI is 1740408608, taxonomy code is 235Z00000X and license number is S2834, license state is located at Mississippi. Kimberly Sue Wise CCC-SLP physically located at 4692 Spottswood Ave, Memphis TN, 38117-4822. NPI Number Kimberly Sue Wise CCC-SLP has the Individual type.

Sponsored links

1740408608 NPI number is provided on an as is basis without warranty of any kind. 1740408608 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Sue Wise CCC-SLP are for informational purposes only.