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Individual

MRS. WENDY ALLISON KEELER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
223 HERITAGE MILL DR., MADISON, AL 35758-1543
(407) 310-6052
Mailing address
223 HERITAGE MILL DR., MADISON, AL 35758-1543
(407) 310-6052

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3416
AL
235Z00000X
Speech-Language Pathologist
SA 6480
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12054899
ASHA NUMBER
FL
01
3416
ALABAMA STATE LICENSE
AL
05
686276496
FL
05
886822100
FL
01
SA 6480
STATE LICENSE
FL
Enumeration date
02/06/2007
Last updated
02/01/2013
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