Individual
MRS. STEPHANIE WIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1655 SHILOH RD STE D, BILLINGS, MT 59106-1726
(406) 629-1175
Mailing address
208 CIDER MILL LN, BRUNSWICK, OH 44212-1539
(440) 591-8642
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
COND.20201555-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-11420
MT
235Z00000X
Speech-Language Pathologist
SP.14638
OH
Other
Enumeration date
11/01/2020
Last updated
02/27/2023
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