Individual
BRIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
100 DELAWARE VETERANS BLVD, MILFORD, DE 19963-5395
(302) 424-6025
Mailing address
109 STARLAND WAY, MILFORD, DE 19963-5378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01-0000888
DE
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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