Individual
MRS. ALYSSA PAIGE WIANECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP
Contact information
Practice address
5211 79TH ST, LUBBOCK, TX 79424-2832
(806) 853-9740
(806) 853-9738
Mailing address
5211 79TH ST, LUBBOCK, TX 79424-2832
(806) 853-9740
(806) 853-9738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113665
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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