Individual
CAROLINE WIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4530 BELTWAY DR, ADDISON, TX 75001-3707
(214) 636-0871
Mailing address
6514 CHEVY CHASE AVE, DALLAS, TX 75225-2603
(903) 815-3444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118482
TX
235Z00000X
Speech-Language Pathologist
—
TX
Other
Enumeration date
02/22/2022
Last updated
08/23/2024
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