Elyse Wiedemann, MS, CCC-SLP TSSLD

Speech-Language Pathologist · League City, TX

Individual Active NPI

NPI number 1326657396

Practice location

276 W Fork Dr
League City, TX 77573-3484
Phone
(412) 965-4463

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NPI record

NPI
1326657396
Entity type
Individual (Type 1)
Enumeration date
July 27, 2020
Last updated
July 27, 2020
Certified
July 27, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 116547 TX

About Elyse Wiedemann

Elyse Wiedemann, MS, CCC-SLP TSSLD is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 276 W Fork Dr, League City, TX 77573-3484. The NPI number 1326657396 was assigned on July 27, 2020 and the record was last updated on July 27, 2020.

Elyse Wiedemann lists a license in the registry: #116547 (TX) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elyse Wiedemann, MS, CCC-SLP TSSLD?

The NPI number is 1326657396.

What is the phone number of Elyse Wiedemann?

The phone number listed for the practice location is (412) 965-4463.

Where is Elyse Wiedemann located?

276 W Fork Dr, League City, TX 77573-3484.

What is the taxonomy code for Elyse Wiedemann?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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