Search › New York › 235Z00000X
Tina Wilde, CCC.SLP
NPI 1700923711 · on the registry since 2007 · sole proprietor
Practice
- Address
- 404 1st Ave
Bayport, NY 11705 - Phone
- (631) 472-6679
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York