Individual
MS. CELESTE P WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED/CCC-SLP
Contact information
Practice address
4635 UNION ROAD, ASPIRE CENTER FOR LEARNING, CHEEKTOWAGA, NY 14225
(716) 505-5700
Mailing address
4635 UNION ROAD, ASPIRE CENTER FOR LEARNING, CHEEKTOWAGA, NY 14225
(716) 505-5700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019747
NY
235Z00000X
Speech-Language Pathologist
019747-1
NY
Other
Enumeration date
11/04/2010
Last updated
05/16/2011
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