Individual
KAYLA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 W 8TH ST, ERIE, PA 16505-4034
(814) 464-0627
(814) 464-0629
Mailing address
2631 W 8TH ST, ERIE, PA 16505-4034
(814) 464-0627
(814) 464-0629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011881
PA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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