Individual
CASEY WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1855 W GOODWIN ST, PLEASANTON, TX 78064-4502
(830) 281-8202
Mailing address
181 FM 1922, FLORESVILLE, TX 78114-3499
(210) 844-1904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14225478
ASHA
—
Enumeration date
04/22/2022
Last updated
04/22/2022
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