Individual
AMY WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8023 INTERSTATE 30, LITTLE ROCK, AR 72209-4841
(501) 526-5400
Mailing address
2000 MAGNOLIA AVE APT 233, LITTLE ROCK, AR 72202-1663
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3137
AR
235Z00000X
Speech-Language Pathologist
3430-154
WI
Other
Enumeration date
12/02/2010
Last updated
04/13/2012
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