Individual
RAEANNE MAREE WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3348 W MCDOWELL RD, PHOENIX, AZ 85009-2499
(602) 455-6700
Mailing address
1058 E 6TH PL, MESA, AZ 85203-6440
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA16954
AZ
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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