Individual
MRS. ANNETTE WIESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BILINGUAL MA SLP CCC
Contact information
Practice address
13808 78TH DR, FLUSHING, NY 11367-3238
(718) 591-1404
(718) 591-1409
Mailing address
13808 78TH DR, FLUSHING, NY 11367-3238
(718) 591-1404
(718) 591-1409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011864-1
NY
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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