Individual
ANNE KATHLEEN WIETHARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
21250 W 151ST ST, OLATHE, KS 66061-8100
(913) 390-0444
Mailing address
11201 RENE ST APT 903, LENEXA, KS 66215-4382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1465
KS
Other
Enumeration date
11/21/2012
Last updated
11/16/2016
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