Angie Thomas Wade, SLP Valid NPI

Individual provider · Speech-Language Pathologist · Lagrange, KY

NPI

1578699583

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

1491 (KY)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-02-26

Last updated

2007-07-08