IndividualActive
Andrea Wydick, SLP
NPI 1629834627 · Speech-Language Pathologist · Milo, MO
Provider details
- NPI number
- 1629834627
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2013033373 (MO)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
22507 S 2325 Rd
Milo, MO 64767-7643
Phone: (417) 684-0105
Approximate (ZIP-level) locationGet directions
Mailing address
22507 S 2325 Rd
Milo, MO 64767-7643
Registry dates
- Enumerated
- 2024-02-27
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.