Individual
BRYANNA LINDA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34179 N PICKET POST DR, QUEEN CREEK, AZ 85142-6649
(480) 710-8500
Mailing address
1820 E BELL DE MAR DR APT 246N, TEMPE, AZ 85283-5742
(928) 446-1849
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12854
AZ
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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