Individual provider · Type 1 NPI

Kimberly Sue Wise, CCC-SLP

Speech-Language Pathologist · Memphis, TN

NPI number 1740408608 Active

Practice location

4692 Spottswood Ave
Memphis, TN 38117-4822

Fax (901) 761-7171

Mailing address

585 Cedar Grove Cv
Hernando, MS 38632-6656

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X0000001728 (TN)
Speech-Language Pathologist 235Z00000XS2834 (MS)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1740408608

Kimberly Sue Wise, CCC-SLP's National Provider Identifier is 1740408608, issued on Apr 23, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.