Elyse Wiedemann, MS, CCC-SLP TSSLD
NPI #1326657396 in League City, Texas
Provider Information
- NPI Number
- 1326657396
- Entity Type
- Individual
- Name
- Elyse Wiedemann, MS, CCC-SLP TSSLD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP TSSLD
- Enumeration Date
- Jul 27, 2020
- Last Updated
- Jul 27, 2020
Practice Location
- Address
- 276 W FORK DR
- City
- League City
- State
- Texas
- ZIP Code
- 77573-3484
- Phone
- (412) 965-4463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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