Individual
TERESA L SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1424 N STONEY POINT ST # 1270, WICHITA, KS 67212-1270
(316) 721-6549
Mailing address
1424 N STONEY POINT ST, WICHITA, KS 67212-1270
(316) 250-5476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1018
KS
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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