Individual
MS. HALEY BRIANE WICKENHEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
1103 N RAVINE PKWY, TOLEDO, OH 43605-1678
(419) 671-7550
Mailing address
1103 N RAVINE PKWY, TOLEDO, OH 43605-1678
(419) 671-7550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.2016241
OH
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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