Individual
LYNDSI O WRISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
(304) 574-4109
Mailing address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2102
WV
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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