Individual
WENDY J RIBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9505 CORAL WAY, LAS VEGAS, NV 89117-3602
(702) 338-4630
Mailing address
9505 CORAL WAY, LAS VEGAS, NV 89117-3602
(702) 338-4630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP601
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003402272
—
NV
Enumeration date
09/25/2006
Last updated
04/17/2013
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