MRS. Annie Stagner Wyatt, M.S. CCC-SLP
NPI #1902296890 in Fort Campbell, Kentucky
Provider Information
- NPI Number
- 1902296890
- Entity Type
- Individual
- Name
- MRS. Annie Stagner Wyatt, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Jan 29, 2015
- Last Updated
- Nov 10, 2016
Practice Location
- Address
- 650 JOEL DR
- City
- Fort Campbell
- State
- Kentucky
- ZIP Code
- 42223-5318
- Phone
- (270) 798-8388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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