Individual
STEPHANIE S WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1215 21ST AVE S, SUITE 9302, NASHVILLE, TN 37232-8025
(615) 936-6349
(615) 875-1410
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1678
TN
231H00000X
Audiologist
Primary
23002605A
IN
Other
Enumeration date
03/06/2015
Last updated
03/11/2021
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