Individual
ISADORA WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3100 CORAL HILLS DR STE 200, CORAL SPRINGS, FL 33065-4137
(954) 796-3925
Mailing address
6907 W SUNRISE BLVD APT 407, PLANTATION, FL 33313-4469
(954) 254-3498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17508
FL
235Z00000X
Speech-Language Pathologist
SZ8816
FL
Other
Enumeration date
08/15/2019
Last updated
10/15/2019
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