Vesti Wyatt MS-CCC/SLP

NPI 1063777167 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1063777167
Gender Female
Enumeration Date 07/05/2012
Last Updated 07/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3550 HULEN ST
STE D
FORT WORTH TX, 76107-6808, US
Phone (817) 377-2535
Fax (817) 292-0572
Business Location
3550 HULEN ST
STE D
FORT WORTH TX, 76107-6808, US
Phone (817) 377-2535
Fax (817) 292-0572
Toxanomy
Taxonomy Code 235Z00000X
License State Texas
License Number 103238
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According to our database, Vesti Wyatt MS-CCC/SLP NPI is 1063777167, taxonomy code is 235Z00000X and license number is 103238, license state is located at Texas. Vesti Wyatt MS-CCC/SLP physically located at 3550 Hulen St, Fort Worth TX, 76107-6808. NPI Number Vesti Wyatt MS-CCC/SLP has the Individual type.

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1063777167 NPI number is provided on an as is basis without warranty of any kind. 1063777167 is maintained by the National Plan & Provider Enumeration System. The contents of Vesti Wyatt MS-CCC/SLP are for informational purposes only.