Individual
KERI WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
14621 HEYWOOD ST, WAVERLY, NE 68462-1332
(402) 786-2348
Mailing address
24178 SUNSET LN, ALVO, NE 68304-2150
(402) 781-2349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
824
NE
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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