Individual
MRS. CHERYL ANN WIETSCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
375 HOWARD AVE, WOODMERE, NY 11598-2941
(516) 791-5252
Mailing address
375 HOWARD AVE, WOODMERE, NY 11598-2941
(516) 467-6274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
008737
NY
235Z00000X
Speech-Language Pathologist
Primary
008737
NY
Other
Enumeration date
12/31/2009
Last updated
01/16/2020
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