Individual
MRS. ELIZABETH BLACK WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
23835 HIGHWAY 24, PARIS, MO 65275-2276
(660) 327-1402
(660) 327-1403
Mailing address
23835 HIGHWAY 24, PARIS, MO 65275-2276
(660) 327-1402
(660) 327-1403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113584
MO
Other
Enumeration date
10/26/2006
Last updated
07/09/2007
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