Individual
MS. ANNE ELIZABETH WYVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
320 N.E. 2ND ST, TRENTON, FL 32693
(201) 966-6819
Mailing address
320 N.E. 2ND ST, TRENTON, FL 32693
(201) 966-6819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
013316-1
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS00421100
NJ
Other
Enumeration date
10/11/2011
Last updated
04/24/2023
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