Individual
HEATHER WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
650 EDISON AVE, PHILADELPHIA, PA 19116-1237
(215) 856-5700
Mailing address
650 EDISON AVE, PHILADELPHIA, PA 19116-1237
(215) 856-5700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011464
PA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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