Individual
ALISON WISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER OF ROUTE 12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
9544
MN
235Z00000X
Speech-Language Pathologist
Primary
SL007740
PA
Other
Enumeration date
03/08/2016
Last updated
01/16/2019
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