MRS. Jennifer Kay Wisthoff, MA CCC-SLP
NPI #1205029964 in Centreville, Virginia
Provider Information
- NPI Number
- 1205029964
- Entity Type
- Individual
- Name
- MRS. Jennifer Kay Wisthoff, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Aug 24, 2007
- Last Updated
- Aug 24, 2007
Practice Location
- Address
- 5814 POST CORNERS TRL APT D
- City
- Centreville
- State
- Virginia
- ZIP Code
- 20120-6321
- Phone
- (773) 793-9681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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