Individual
MRS. ENID F. WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
(215) 879-3912
Mailing address
142 TRENT RD, WYNNEWOOD, PA 19096-3505
(610) 513-1222
(610) 642-2852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002534L
PA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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