Individual
MRS. LILY MARIAH ROCKWELL VEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4342 DEFIANCE PIKE, WAYNE, OH 43466-9701
(740) 238-1978
Mailing address
4342 DEFIANCE PIKE, WAYNE, OH 43466-9701
(740) 238-1978
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202007997
VA
235Z00000X
Speech-Language Pathologist
Primary
SP.12343
OH
Other
Enumeration date
08/26/2015
Last updated
11/22/2022
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