Individual
MRS. WANDA WIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP/L
Contact information
Practice address
729 21ST ST, BETTENDORF, IA 52722-5004
(563) 359-1371
Mailing address
5944 VANDERGINST CT, BETTENDORF, IA 52722-1239
(563) 459-9208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002424
IA
235Z00000X
Speech-Language Pathologist
146.011943
IL
Other
Enumeration date
03/05/2014
Last updated
01/13/2016
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