Individual
MRS. EMILY H WYCOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
2030 COLONIAL AVE SW, ROANOKE, VA 24015-3204
(540) 343-0165
(540) 345-4664
Mailing address
2030 COLONIAL AVE SW, ROANOKE, VA 24015-3204
(540) 343-0165
(540) 345-4664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007790506
AETNA
VA
01
—
195185
ANTHEM
VA
01
—
240052
MAMSI
VA
Enumeration date
10/27/2006
Last updated
07/08/2007
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