Brandon R Wigboldy, MS CCC-SLP/L
NPI #1285178277 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1285178277
- Entity Type
- Individual
- Name
- Brandon R Wigboldy, MS CCC-SLP/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC-SLP/L
- Enumeration Date
- Dec 9, 2016
- Last Updated
- Dec 9, 2016
Practice Location
- Address
- 17207 71ST AVE
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-3303
- Phone
- (708) 362-4603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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