Individual
KATIE WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 HENSLEE DR, DICKSON, TN 37055-2076
(615) 614-8833
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22006283A
IN
235Z00000X
Speech-Language Pathologist
Primary
6875
TN
Other
Enumeration date
03/27/2018
Last updated
11/23/2022
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